Individual
CLARISSA MARIE BARAIAC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
26366 WOLVERINE ST, MADISON HEIGHTS, MI 48071-3714
(248) 434-7196
Mailing address
26366 WOLVERINE ST, MADISON HEIGHTS, MI 48071-3714
(248) 434-7196
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
1689148
MI
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/07/2019
Last updated
10/07/2019
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