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Individual

MS. SHELIA RENEE BRYAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1121 E MCNICHOLS RD, DETROIT, MI 48203-2857
(616) 365-3100
(616) 365-3100
Mailing address
80 E HANCOCK ST APT 1104, DETROIT, MI 48201-1334
(313) 779-3171

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary

Other

Enumeration date
07/18/2017
Last updated
07/18/2017
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