Search › Michigan › 374J00000X
Rhonda Bacon
NPI 1821986597 · on the registry since 2025 · sole proprietor
Practice
- Address
- 14703 Edmore Dr
Detroit, MI 48205 - Phone
- (313) 523-0037
Registry record
- Primary taxonomy
- 374J00000X
374J00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-06-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan