Organization
MANUEL MC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HENRY M BRICENO (PRESIDENT)
(248) 696-9636
Entity
Organization
Contact information
Practice address
28803 8 MILE RD, 103, LIVONIA, MI 48152-2074
(248) 636-9636
Mailing address
28803 8 MILE RD, 103, LIVONIA, MI 48152-2074
(248) 636-9636
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
07/22/2008
Last updated
07/22/2008
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