Individual
SOUAD BAZZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 W PIER DR, APT. 216A, SAULT SAINTE MARIE, MI 49783-1870
(313) 919-0347
Mailing address
300 W PIER DR, APT. 216A, SAULT SAINTE MARIE, MI 49783-1870
(313) 919-0347
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
09/30/2014
Last updated
06/21/2016
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