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Contact Information

MAVIS G POOKRUM
21732 COLONY PARK CIRCLE #105
SOUTHFIELD, MI48076
 Phone: 313-283-7838
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Personal Care Attendant

3747P1801X
Indicates primary specialty

NPI Profile & details for MAVIS G POOKRUM · (Female)

NPI # 1386114742
Status Active
Credentials
Entity Individual
Enumeration date 11/28/2018
Last updated 11/28/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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