Individual
RASHIDA KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9605 GRAND RIVER AVE, DETROIT, MI 48204-2139
(313) 834-5930
Mailing address
9605 GRAND RIVER AVE, DETROIT, MI 48204-2139
(313) 834-5930
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703100109
MI
Other
Enumeration date
04/28/2014
Last updated
04/28/2014
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