Individual
MRS. FONDA BREWER-WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CERTIFIED HAIR LOSS
Contact information
Practice address
4255 MAR MOOR DR, LANSING, MI 48917-1615
(517) 410-2998
Mailing address
4255 MAR MOOR DR, LANSING, MI 48917-1615
(517) 410-2998
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
47-4191902
MI
Other
Enumeration date
08/19/2015
Last updated
08/19/2015
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