Individual
BARBARA BRUNELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19490 NORTHRIDGE DR APT C, NORTHVILLE, MI 48167-2980
(248) 231-6802
Mailing address
19490 NORTHRIDGE DR APT C, NORTHVILLE, MI 48167-2980
(248) 231-6802
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703057178
MI
Other
Enumeration date
02/13/2015
Last updated
02/13/2015
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