Individual
GWEN ALANI MASTENBROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2280 E GRAND RIVER AVE, HOWELL, MI 48843-8503
(517) 546-4126
Mailing address
8728 PLEASANT LAKE DR, BRIGHTON, MI 48116-9110
(810) 923-2623
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
05/28/2024
Last updated
05/28/2024
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