SOUNDRA D MACKAVICH

PONTIAC, MI
NPI1578891792
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: MI  2488088)
Enumeration Date2009-11-29
Last Update Date2009-11-29
Business Address
MRS. SOUNDRA D MACKAVICH NP-C
44405 WOODWARD AVE
PONTIAC, MI 48341-5023
Phone number: 248-858-6591
Mailing Address
MRS. SOUNDRA D MACKAVICH NP-C
580 GRIXDALE LN
WATERFORD, MI 48328-3430
Phone number: 248-681-3622
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