Individual
MS. MAVIS GAIL POOKRUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21732 COLONY PARK CIRCLE #105, SOUTHFIELD, MI 48076
(313) 283-7838
Mailing address
21732 COLONY PARK CIRCLE #105, SOUTHFIELD, MI 48076
(313) 283-7838
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
11/28/2018
Last updated
11/28/2018
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