Individual
MS. CAROLYN BURROUGHS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OWNER
Contact information
Practice address
26962 FRANKLIN RD APT 131, SOUTHFIELD, MI 48033-2437
(248) 353-2100
(248) 353-2131
Mailing address
PO BOX 2665, SOUTHFIELD, MI 48037-2665
(248) 937-0917
(248) 353-2131
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703119439
MI
Other
Enumeration date
10/23/2018
Last updated
10/23/2018
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