Organization
MOTOR CITY DRIP HYDRATION AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICORYA SCOTT NP (PRESIDENT)
(833) 221-4169
Entity
Organization
Contact information
Practice address
21701 W 11 MILE RD STE 11, SOUTHFIELD, MI 48076-3713
(833) 221-4169
Mailing address
21701 W 11 MILE RD STE 11, SOUTHFIELD, MI 48076-3713
(833) 221-4169
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/08/2025
Last updated
02/08/2025
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