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Individual

KEIANNE MARY MANALESE

Active
Sole proprietor
No

Provider details

NPI number
Gender
X

Contact information

Practice address
28679 BAYBERRY CT E, LIVONIA, MI 48154-3869
(313) 920-6327
Mailing address
28679 BAYBERRY CT E, LIVONIA, MI 48154-3869

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704431805
MI

Other

Enumeration date
04/22/2026
Last updated
04/22/2026
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