Individual
BIANCA SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6345 FORRER ST, DETROIT, MI 48228-3712
(313) 740-8034
Mailing address
6345 FORRER ST, DETROIT, MI 48228-3712
(313) 740-8034
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
11/15/2014
Last updated
11/15/2014
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