Individual
KOLSUMA NESSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12501 HAMILTON AVE, HIGHLAND PARK, MI 48203-3243
(313) 518-7566
(313) 865-1582
Mailing address
13490 EUREKA ST, DETROIT, MI 48212-1755
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703123828
MI
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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