Individual
COURTNEY MAZUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
36901 DOW ST APT 104, RICHMOND, MI 48062-1417
(586) 295-1353
Mailing address
36901 DOW ST APT 104, RICHMOND, MI 48062-1417
(586) 295-1353
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
MI000005648
MI
Other
Enumeration date
06/07/2016
Last updated
06/07/2016
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