SearchMichigan343900000X

Maundretta Brown

NPI 1508696725 · on the registry since 2024 · sole proprietor

Practice

Address
15904 La Salle Blvd
Detroit, MI 48238
Phone
(313) 556-6809

Registry record

Primary taxonomy
343900000X
343900000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-08-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan