| Self-reliance Llc | |
|
1161 Stacy Dr Canton MI 48188-1426 | |
| (313) 740-5358 | |
| Not Available |
| Full Name | Self-reliance Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1161 Stacy Dr, Canton, Michigan |
| Authorized Official Name and Position | Lucinda Pryor (OWNER/NP) |
| Authorized Official Contact | 3137405358 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Self-reliance Llc 1161 Stacy Dr Canton MI 48188-1426 Ph: (313) 740-5358 | Self-reliance Llc 1161 Stacy Dr Canton MI 48188-1426 Ph: (313) 740-5358 |
| NPI Number | 1548842933 |
|---|---|
| Provider Enumeration Date | 04/25/2021 |
| Last Update Date | 04/25/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548842933 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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