Individual
MRS. MELONEY BARNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
9375 WINSTON, REDFORD, MI 48239-1289
(313) 399-5727
Mailing address
9375 WINSTON, REDFORD, MI 48239-1289
(313) 399-5727
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703111188
MI
Other
Enumeration date
06/02/2015
Last updated
06/02/2015
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