Individual
BRUCINA LIAWATHA MAYFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
385 LEONARD ST NE, GRAND RAPIDS, MI 49503-1129
(616) 454-4777
Mailing address
385 LEONARD ST NE, GRAND RAPIDS, MI 49503-1129
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/19/2021
Last updated
04/19/2021
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