Individual
MALVINIA MARTINE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20919 BEHRENDT AVE, WARREN, MI 48091-2771
(313) 721-3313
Mailing address
20919 BEHRENDT AVE, WARREN, MI 48091-2771
(313) 721-3313
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
04/23/2018
Last updated
04/23/2018
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