Individual
KISHA BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
44654 BAYVIEW AVE APT 10304, CLINTON TOWNSHIP, MI 48038-7023
(313) 254-7892
Mailing address
44654 BAYVIEW AVE APT 10304, CLINTON TOWNSHIP, MI 48038-7023
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
03/26/2018
Last updated
03/26/2018
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