Individual provider · Type 1 NPI
Gloria D. Blackmon
Prosthetics Case Management · Detroit, MI
NPI number
1619622354
Active
Practice location
11891 Wisconsin Street
Detroit, MI 48204-1045
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthetics Case Management Primary | 1744P3200X | None listed |
Prosthetics Case Management: A case manager who provides services for patients with prosthetics.
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About NPI 1619622354
Gloria D. Blackmon's National Provider Identifier is 1619622354, issued on Feb 21, 2022. The primary taxonomy on file is Prosthetics Case Management (1744P3200X), and the practice location is in Detroit, MI. The record was last updated on Feb 21, 2022.