Individual
MAVIS DIGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2727 2ND AVE STE 266, DETROIT, MI 48201-2675
(313) 451-0405
Mailing address
2727 2ND AVE STE 266, DETROIT, MI 48201-2675
(313) 451-0405
(586) 999-8836
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704347831
MI
Other
Enumeration date
10/05/2021
Last updated
10/05/2021
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