Organization
NATURES NATURAL MOBILE SPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYSHAWNDA RILEY (OWNER)
(313) 974-1793
Entity
Organization
Contact information
Practice address
3008 MARLBOROUGH ST, DETROIT, MI 48215-2536
(586) 277-0102
Mailing address
3008 MARLBOROUGH ST, DETROIT, MI 48215-2536
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
—
—
302R00000X
Health Maintenance Organization
Primary
—
—
305R00000X
Preferred Provider Organization
—
—
305S00000X
Point of Service
—
—
Other
Enumeration date
05/02/2016
Last updated
05/02/2016
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