Individual
GLORIA ANN BARNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
26328 FAIRFIELD AVE, WARREN, MI 48089-4522
(313) 693-8199
Mailing address
26328 FAIRFIELD AVE, WARREN, MI 48089-4522
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704262967
MI
Other
Enumeration date
02/07/2018
Last updated
02/07/2018
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