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Individual

LISA BRYANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6870 N WILDWOOD ST, WESTLAND, MI 48185-2727
(734) 444-7692
Mailing address
6870 N WILDWOOD ST, WESTLAND, MI 48185-2727
(734) 444-7692

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703117512
MI

Other

Enumeration date
05/17/2018
Last updated
05/17/2018
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