MS. GLORIA BLACKMON

Specialist - Prosthetics Case Management

Active Individual
NPI: 1619622354

Practice Address

11891 WISCONSIN STREET
Detroit, MI 48204

Phone: (248) 508-2611

Specialties

Specialty Code Primary License
Specialist - Prosthetics Case Management 1744P3200X Yes -

Frequently Asked Questions

NPI 1619622354 is the National Provider Identifier for MS. GLORIA BLACKMON, a Specialist - Prosthetics Case Management provider located in Detroit, MI. This NPI was enumerated on February 21, 2022.
MS. GLORIA BLACKMON practices at 11891 WISCONSIN STREET, Detroit, MI 48204.

Quick Facts

NPI
1619622354
Type
Individual
Enumerated
Feb 21, 2022
Last Updated
Feb 21, 2022

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