Individual
MAHA GEBRIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2585 KATE ST, HOLT, MI 48842-9769
(517) 703-3771
Mailing address
2585 KATE ST, HOLT, MI 48842-9769
(517) 703-3771
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704338939
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4704338939
—
MI
Enumeration date
12/14/2022
Last updated
12/14/2022
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