Individual
MRS. CAROL BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3506 GRATIOT AVE, DETROIT, MI 48207-1830
(313) 887-6757
Mailing address
20801 NORTHOME ST, SOUTHFIELD, MI 48076-5260
(248) 350-1733
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
4704112086
MI
Other
Enumeration date
05/18/2007
Last updated
07/08/2007
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