Individual
BIANCA SYMONE-RAVEEN MORRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
24629 BERRY AVE, WARREN, MI 48089-2170
(586) 362-0951
Mailing address
24629 BERRY AVE, WARREN, MI 48089-2170
(586) 362-0951
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704368201
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
844650213
—
MI
Enumeration date
02/24/2020
Last updated
12/08/2021
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