Individual
MARVA REDUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22122 STUDIO ST, TAYLOR, MI 48180-2443
(313) 516-2048
Mailing address
22122 STUDIO ST, TAYLOR, MI 48180-2443
(313) 516-2048
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
MI
Other
Enumeration date
10/23/2014
Last updated
10/23/2014
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