Individual
MISS KIMBERLY FARROW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17421 TELEGRAPH RD, DETROIT, MI 48219-3165
(313) 531-2500
Mailing address
9959 PIEDMONT ST, DETROIT, MI 48228-1320
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704281505
MI
Other
Enumeration date
10/27/2016
Last updated
10/27/2016
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