Individual
FATINEMA LARELL BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
384 KEELSON DR, DETROIT, MI 48215-3068
(313) 622-9633
Mailing address
384 KEELSON DR, DETROIT, MI 48215-3068
(313) 622-9633
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
5677373
MI
Other
Enumeration date
08/06/2025
Last updated
08/06/2025
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