Individual
MALIKA BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18659 EUREKA ST, DETROIT, MI 48234-2119
(313) 736-8338
Mailing address
18659 EUREKA ST, DETROIT, MI 48234-2119
(313) 736-8338
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703113685
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4703113685
PRACTICAL NURSE LICENSE
MI
Enumeration date
07/07/2014
Last updated
07/07/2014
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