Individual
MS. GLORIA LAVAUGHN ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
28050 GRAND RIVER AVE, FARMINGTON HILLS, MI 48336-5919
(800) 543-1963
Mailing address
2702 HALYARD CT, LANSING, MI 48911-8133
(517) 699-2146
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704220255
MI
Other
Enumeration date
08/14/2006
Last updated
07/17/2007
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