Individual
JEFFREY BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
20415 BALFOUR ST, APT 4, HARPER WOODS, MI 48225
(313) 525-1568
Mailing address
20415 BALFOUR ST, APT 4, HARPER WOODS, MI 48225
(313) 525-1568
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703120285
MI
Other
Enumeration date
05/07/2018
Last updated
05/07/2018
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