Individual
MRS. MARCY GIBSON-DOLFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BUSINESS OWNER
Contact information
Practice address
30987 STONE RIDGE DR APT 1307, WIXOM, MI 48393-3896
(313) 974-9257
Mailing address
30987 STONE RIDGE DR APT 1307, WIXOM, MI 48393-3896
(313) 974-9257
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
230015034740311
MI
Other
Enumeration date
07/19/2019
Last updated
07/19/2019
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