Individual
LAMURIEL CALVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
195 PROSPECT ST, PONTIAC, MI 48341-3037
(248) 818-4216
Mailing address
195 PROSPECT ST, PONTIAC, MI 48341-3037
(248) 818-4216
Taxonomy
Speciality
Code
Description
License number
State
132700000X
Dietary Manager
54239862
MI
171M00000X
Case Manager/Care Coordinator
Primary
54239862
MI
Other
Enumeration date
12/01/2015
Last updated
12/01/2015
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