ANDRE GUY PULFORD

DETROIT, MI
NPI1588142376
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MI  4704267553REN17)
Enumeration Date2018-08-02
Last Update Date2023-04-18
Business Address
ANDRE GUY PULFORD
3990 JOHN R ST
DETROIT, MI 48201-2018
Phone number: 313-966-4269
Mailing Address
ANDRE GUY PULFORD
2762 PEMBROKE RD
BIRMINGHAM, MI 48009-7512
Phone number: 248-296-1688