NPI 1275766404

Gloria Jean Stevens

Practitioner Lodging Provider Ray, MI

Practice location

Address: 21051 27 Mile Rd, Ray, MI 48096-3700
Phone: (586) 749-8808
Fax: (586) 749-7409

Registered specialties

Lodging Provider Primary

Other Service Providers Taxonomy 177F00000X

Other Lodging providers in Michigan →

Registry record

NPI: 1275766404
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Sep 2009
Record last updated: 4 Sep 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.