Basic Information
| Provider Information | |||||||||
| NPI: | 1467932111 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BROOKS | ||||||||
| FirstName: | APRIL | ||||||||
| MiddleName: | YVONNE | ||||||||
| NamePrefix: | MS. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 31481 BLOCK ST APT 204 | ||||||||
| Address2: | |||||||||
| City: | GARDEN CITY | ||||||||
| State: | MI | ||||||||
| PostalCode: | 481351942 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3137047742 | ||||||||
| FaxNumber: | 7349815384 | ||||||||
| Practice Location | |||||||||
| Address1: | 5900 N LILLEY RD | ||||||||
| Address2: | |||||||||
| City: | CANTON | ||||||||
| State: | MI | ||||||||
| PostalCode: | 481873776 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7349813709 | ||||||||
| FaxNumber: | 7349815384 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/21/2018 | ||||||||
| LastUpdateDate: | 08/21/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 247200000X | Y | Technologists, Technicians & Other Technical Service Providers | Technician, Other |
No ID Information.