Individual
GLORIA JEAN ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
575 SUMPTER RD APT 108, BELLEVILLE, MI 48111-4957
(248) 667-6192
Mailing address
575 SUMPTER RD APT 108, BELLEVILLE, MI 48111-4957
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703084955
MI
Other
Enumeration date
01/29/2020
Last updated
01/29/2020
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