Individual
MS. SIERA BACON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8268 BRAMELL, REDFORD, MI 48239-1100
(313) 748-2565
Mailing address
8268 BRAMELL, REDFORD, MI 48239-1100
(313) 748-2565
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
B250766079082
MI
Other
Enumeration date
05/04/2023
Last updated
05/04/2023
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