Individual
MRS. MARVELLA BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1718 KALAMAZOO AVE SE, GRAND RAPIDS, MI 49507-2117
(616) 634-9062
Mailing address
1718 KALAMAZOO AVE., GRAND RAPIDS, MI 49507
(616) 634-9062
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
—
—
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
07/01/2014
Last updated
07/16/2020
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