| Be Restored Inc | |
|
1500 Friday Rd Coloma MI 49038-8958 | |
| (269) 470-1797 | |
| Not Available |
| Full Name | Be Restored Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 1500 Friday Rd, Coloma, Michigan |
| Authorized Official Name and Position | Raquel V De Leon (OWNER) |
| Authorized Official Contact | 2694701797 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Be Restored Inc 1500 Friday Rd Coloma MI 49038-8958 Ph: (269) 470-1797 | Be Restored Inc 1500 Friday Rd Coloma MI 49038-8958 Ph: (269) 470-1797 |
| NPI Number | 1902272602 |
|---|---|
| Provider Enumeration Date | 08/17/2015 |
| Last Update Date | 08/17/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902272602 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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