Be Restored Inc | |
1500 Friday Rd Coloma MI 49038-8958 | |
(269) 470-1797 | |
Not Available |
Full Name | Be Restored Inc |
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Speciality | Family Medicine |
Location | 1500 Friday Rd, Coloma, Michigan |
Authorized Official Name and Position | Raquel V De Leon (OWNER) |
Authorized Official Contact | 2694701797 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Be Restored Inc 1500 Friday Rd Coloma MI 49038-8958 Ph: (269) 470-1797 | Be Restored Inc 1500 Friday Rd Coloma MI 49038-8958 Ph: (269) 470-1797 |
NPI Number | 1902272602 |
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Provider Enumeration Date | 08/17/2015 |
Last Update Date | 08/17/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902272602 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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