Individual
ANQUANETTA BARGAINEER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7293 STOUT ST, DETROIT, MI 48228-3240
(734) 658-5361
Mailing address
7293 STOUT ST, DETROIT, MI 48228-3240
(734) 658-5361
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
372500000X
Chore Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A253067488346
IDENTIFICATION
MI
Enumeration date
11/22/2021
Last updated
11/22/2021
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