Provider Demographics
NPI:1467932111
Name:BROOKS, APRIL YVONNE
Entity Type:Individual
Prefix:MS
First Name:APRIL
Middle Name:YVONNE
Last Name:BROOKS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31481 BLOCK ST APT 204
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48135-1942
Mailing Address - Country:US
Mailing Address - Phone:313-704-7742
Mailing Address - Fax:734-981-5384
Practice Address - Street 1:5900 N LILLEY RD
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:MI
Practice Address - Zip Code:48187-3776
Practice Address - Country:US
Practice Address - Phone:734-981-3709
Practice Address - Fax:734-981-5384
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-21
Last Update Date:2018-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other