Individual
MARKIEA TWALISHA BOOKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6781 IOWA ST, DETROIT, MI 48212-1423
(586) 696-4461
Mailing address
6781 IOWA ST, DETROIT, MI 48212-1423
(586) 696-4461
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
B260585807797
MI
Other
Enumeration date
08/29/2022
Last updated
08/29/2022
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