Spencer Bacot
Technician/Technologist in Livonia, MI. Individual provider (NPI-1).
NPI number1306422431
StatusActive
Last updated in NPPESMar 24, 2021
Details
- NPI
- 1306422431
- Entity type
- Individual (NPI-1)
- Name
- Spencer Bacot
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 19, 2021
- Certification date
- Mar 24, 2021
- Last updated
- Mar 24, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 156F00000X | Technician/Technologist | – | – | Yes |
Practice location
13973 Farmington RdLivonia, MI 48154-5403
Phone 734-855-4490
Mailing address
13973 Farmington RdLivonia, MI 48154-5403
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