Individual
MARLA PRATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16500 JAMES COUZENS FWY, DETROIT, MI 48221-2823
(810) 220-2100
Mailing address
122 LEGACY PARK CIR, DEARBORN HEIGHTS, MI 48127-3485
(313) 693-6443
(313) 397-1097
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8631887
—
MI
Enumeration date
08/09/2018
Last updated
08/09/2018
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