Individual
MAURICE GAMBRELL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
20055 SOUTHFIELD FWY, DETROIT, MI 48235-2278
(313) 556-4031
Mailing address
20055 SOUTHFIELD FWY, DETROIT, MI 48235-2278
(313) 556-4031
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
MI
Other
Enumeration date
05/29/2015
Last updated
05/29/2015
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