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Bianca Price-Wallace
NPI 1225590672 · on the registry since 2019 · sole proprietor
Practice
- Address
- 1424 Durango Dr
Ann Arbor, MI 48103 - Phone
- (734) 678-1710
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Also registered as
- 374U00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-03-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan