Organization
BELLA 2 INTERVENTIONAL TREATMENT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMEELA HEPBURN (OWNER)
(313) 231-6627
Entity
Organization
Contact information
Practice address
28763 NORTHWESTERN HWY STE 101, SOUTHFIELD, MI 48034-1842
(248) 327-6888
Mailing address
28763 NORTHWESTERN HWY STE 101, SOUTHFIELD, MI 48034-1842
(248) 327-6888
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
05/28/2021
Last updated
05/28/2021
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