Individual provider · NPI-1

Anquanetta Bargaineer

Chore Provider · Detroit, MI

NPI number1073270294
StatusActive
Last updated in NPPESNov 22, 2021

Details

NPI
1073270294
Entity type
Individual (NPI-1)
Name
Anquanetta Bargaineer
Sex
Female
Sole proprietor
No
Enumeration date
Nov 22, 2021
Certification date
Nov 22, 2021
Last updated
Nov 22, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
372500000X Chore Provider––Yes
172V00000X Community Health Worker––

Practice location

7293 Stout St
Detroit, MI 48228-3240

Phone 734-658-5361

Mailing address

7293 Stout St
Detroit, MI 48228-3240

Phone 734-658-5361

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