Individual
KEARA J MARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2425 TUXEDO ST, DETROIT, MI 48206-1222
(313) 484-5830
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704309972
MI
Other
Enumeration date
09/13/2021
Last updated
09/06/2023
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