Individual
KANIESHA EUNIQUE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
201 N SQUIRREL RD APT 1001, AUBURN HILLS, MI 48326-4025
(313) 797-1034
Mailing address
201 N SQUIRREL RD APT 1001, AUBURN HILLS, MI 48326-4025
(313) 797-1034
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
06/22/2022
Last updated
06/22/2022
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