Individual provider · NPI-1
Wyzlee Bussle
Chore Provider · Inkster, MI
NPI number1972336162
StatusActive
Last updated in NPPESAug 22, 2024
Details
- NPI
- 1972336162
- Entity type
- Individual (NPI-1)
- Name
- Wyzlee Bussle
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 22, 2024
- Certification date
- Aug 22, 2024
- Last updated
- Aug 22, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 372500000X | Chore Provider | – | – | Yes |
Practice location
27849 Avondale StInkster, MI 48141-1717
Phone 313-646-0611
Mailing address
206 Ponderosa Trl SBelleville, MI 48111-5406
Phone 313-808-6329
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