Individual
MS. AVA CATHRYN FALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1612 EDGEWOOD DR, ROYAL OAK, MI 48067-1296
(248) 520-4080
Mailing address
1612 EDGEWOOD DR, ROYAL OAK, MI 48067-1296
(248) 520-4080
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/10/2022
Last updated
07/10/2022
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