NPI 1386114742

Mavis Gail Pookrum

Practitioner Personal Care Attendant Southfield, MI

Practice location

Address: 21732 Colony Park Circle #105, Southfield, MI 48076
Phone: (313) 283-7838

Registered specialties

Personal Care Attendant Primary

Nursing Service Related Providers Taxonomy 3747P1801X

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Registry record

NPI: 1386114742
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Nov 2018
Record last updated: 28 Nov 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.