Be Restored INC

NPI #1902272602 in Coloma, Michigan

Provider Information

NPI Number: 1902272602
Entity Type: Organization
Organization Name: Be Restored INC
Primary Specialty: Family Medicine
Enumeration Date: Aug 17, 2015
Last Updated: Aug 17, 2015

Practice Location

Address: 1500 FRIDAY RD
City: Coloma
State: Michigan
ZIP Code: 49038-8958
Phone: (269) 470-1797

Authorized Official

Name: RAQUEL V DE LEON, NP
Title: OWNER
Phone: (269) 470-1797

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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