Individual
GLORIA WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
980 FAIRWOOD ST, INKSTER, MI 48141-4003
(313) 743-1946
Mailing address
980 FAIRWOOD, INKSTER, MI 48141
(313) 743-1946
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
47030633255
MI
Other
Enumeration date
10/17/2016
Last updated
10/17/2016
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