SearchMichigan1744P3200X

Gloria Blackmon

NPI 1619622354 · on the registry since 2022 · sole proprietor

Practice

Address
11891 Wisconsin Street
Detroit, MI 48204
Phone
(248) 508-2611

Registry record

Primary taxonomy
1744P3200X
1744P3200X
Sex
Female
Record last updated
2022-02-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan