Individual
INZA STURDIVANT-BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6770 MERRIMAN RD, ROMULUS, MI 48174-1948
(734) 834-7870
Mailing address
6770 MERRIMAN RD, ROMULUS, MI 48174-1948
(734) 834-7870
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
MI
Other
Enumeration date
12/02/2014
Last updated
12/02/2014
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