Souad Bazzi

NPI #1699178012 in Sault Sainte Marie, Michigan

Provider Information

NPI Number: 1699178012
Entity Type: Individual
Name: Souad Bazzi
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Sep 30, 2014
Last Updated: Jun 21, 2016

Practice Location

Address: 300 W PIER DR
Address 2: APT. 216A
City: Sault Sainte Marie
State: Michigan
ZIP Code: 49783-1870
Phone: (313) 919-0347

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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