Individual
BARAH ALDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4646 JOHN R ST, DETROIT, MI 48201-1916
(313) 576-1000
Mailing address
7 YORKSHIRE CT, DEARBORN, MI 48126-4200
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901005405
MI
Other
Enumeration date
08/09/2019
Last updated
08/09/2019
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