Individual provider · Type 1 NPI
Gloria Jean Stevens
Lodging Provider · Ray, MI
NPI number
1275766404
Active
Practice location
21051 27 Mile Rd
Ray, MI 48096-3700
Fax (586) 749-7409
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Lodging Provider Primary | 177F00000X | None listed |
Lodging Provider: A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home.
About NPI 1275766404
Gloria Jean Stevens's National Provider Identifier is 1275766404, issued on Sep 4, 2009. The primary taxonomy on file is Lodging Provider (177F00000X), and the practice location is in Ray, MI. The record was last updated on Sep 4, 2009.