Individual
BASHAR NAZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
41465 DEQUINDRE RD, TROY, MI 48085-4057
(248) 499-2888
Mailing address
41465 DEQUINDRE RD, TROY, MI 48085-4057
(248) 499-2888
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
08/18/2016
Last updated
08/18/2016
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