Individual
INEKA BARRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14794 LYDIA AVE, EASTPOINTE, MI 48021-2874
(623) 261-7490
Mailing address
14794 LYDIA AVE, EASTPOINTE, MI 48021-2874
(623) 261-7490
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP049900
AZ
Other
Enumeration date
07/23/2014
Last updated
07/23/2014
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