Individual
MISS ALEXANDRIA NICOLE BARENSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
41521 W 11 MILE RD, NOVI, MI 48375-1803
(248) 299-0030
Mailing address
3756 111TH AVE, ALLEGAN, MI 49010-9354
(616) 405-8314
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
B652044630861
MI
Other
Enumeration date
12/31/2016
Last updated
12/31/2016
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