Individual
ANSARIAH BENT-MUSAFIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3610 THREE MILE DR, DETROIT, MI 48224-3604
(313) 463-9081
Mailing address
3610 THREE MILE DR, DETROIT, MI 48224-3604
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
B535067067159
MI
Other
Enumeration date
09/22/2016
Last updated
09/22/2016
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