Individual
MARCHELLE BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13600 COURTSIDE WAY APT 303, SOUTHGATE, MI 48195-3405
(313) 399-6056
Mailing address
13600 COURTSIDE WAY APT 303, SOUTHGATE, MI 48195-3405
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703112362
MI
Other
Enumeration date
01/21/2025
Last updated
01/21/2025
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