Individual
KRISTY JOY ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
43825 MICHIGAN AVE STE 1, CANTON, MI 48188-2551
(734) 937-3088
(734) 397-7044
Mailing address
43825 MICHIGAN AVE STE 1, CANTON, MI 48188-2551
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703110753
MI
Other
Enumeration date
06/18/2019
Last updated
06/18/2019
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