Individual
BARBARA KABASA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
41621 W 11 MILE RD, NOVI, MI 48375-1804
(248) 299-0030
Mailing address
12919 TIPTON HWY, LOT 23, CLINTON, MI 49236-9728
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703085074
MI
Other
Enumeration date
09/12/2012
Last updated
09/12/2012
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