Individual
MS. KRESHAYLA K BOYKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
158 RUSSELL ST, PONTIAC, MI 48342-3339
(248) 818-5338
Mailing address
158 RUSSELL ST, PONTIAC, MI 48342-3339
(248) 818-5338
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
05/12/2023
Last updated
05/12/2023
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