Individual
RAYMOND BADEJO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2051 W GRAND BLVD, DETROIT, MI 48208-1105
(313) 961-3200
Mailing address
2051 W GRAND BLVD, DETROIT, MI 48208-1105
(313) 961-3200
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704290651
MI
Other
Enumeration date
03/23/2017
Last updated
03/23/2017
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