person
Ms. Gloria D Blackmon
Prosthetics Case Management in Detroit, Michigan
NPI 1619622354

Gloria D Blackmon is a Prosthetics Case Management based in Detroit, MI and is specialized in Prosthetics Case Management. Gloria D Blackmon practices in Detroit, MI. The NPI Number for Gloria D Blackmon is 1619622354 and holds a License No. (Michigan).

The current practice location address for Gloria D Blackmon is 11891 Wisconsin Street, Detroit, MI and can be reached out via phone at 248-508-2611.

Location: 11891 Wisconsin Street, Detroit, MI, 48204-1045
person
Provider Profile Details
NPI Number
1619622354
Provider Name
Gloria D Blackmon
Credential
Provider Entity Type
Individual
Gender
Female
Address
11891 Wisconsin Street, Detroit, MI, 48204-1045
Phone Number
248-508-2611
Fax Number
Provider Enumeration Date
02/21/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11891 Wisconsin Street
City
State
Zip
48204-1045
Phone Number
248-508-2611
Fax Number
person
Provider Business Mailing Address Details
Address
11891 Wisconsin Street
City
State
Zip
48204-1045
Phone Number
248-508-2611
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
Prosthetics Case Management
Taxonomy
License No.
()
Definition
Definition to come...
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