Individual
GLORIA LESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16720 ASBURY PARK, DETROIT, MI 48235-3659
(313) 948-2763
Mailing address
16720 ASBURY PARK, DETROIT, MI 48235-3659
(313) 948-2763
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
08/09/2015
Last updated
08/09/2015
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