Gresham, Marla

Gresham, Marla is an individual health care provider with primary practice located at 4646 John R St , Detroit MI 48201-1916. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, Adult, which is considered as her primary health care specialty. Gresham, Marla can be contacted via phone (313) 576-4836.

Contact Information

Primary practice address
4646 John R St Detroit MI 48201-1916
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X 4704186857 Michigan

Profile Details

NPI number 1144957101
LBN Legal business name Gresham, Marla
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2022
Last updated Aug 1st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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