Individual
GLORIA HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4040 S 9 MILE RD, AUBURN, MI 48611-9787
(989) 751-4059
Mailing address
4040 S 9 MILE RD, AUBURN, MI 48611-9787
(989) 751-4059
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703078712
MI
Other
Enumeration date
02/04/2015
Last updated
02/04/2015
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