Search › Michigan › 343900000X
Siera Bacon
NPI 1598454696 · on the registry since 2023 · sole proprietor
Practice
- Address
- 8268 Bramell
Redford, MI 48239 - Phone
- (313) 748-2565
Registry record
- Primary taxonomy
- 343900000X
343900000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-05-04
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