Individual
MRS. MARIA SIACON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN BSN
Contact information
Practice address
6555 15 MILE RD, STERLING HEIGHTS, MI 48312-4511
(566) 469-6210
Mailing address
6555 15 MILE RD, STERLING HEIGHTS, MI 48312-4511
(586) 469-6210
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
4704239094
MI
Other
Enumeration date
11/09/2021
Last updated
11/09/2021
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