Individual
KANISHA WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24 FRANK LLOYD WRIGHT DR, ANN ARBOR, MI 48105-9484
(734) 930-7400
Mailing address
PO BOX 2275, BELLEVILLE, MI 48112-2275
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601001391
MI
Other
Enumeration date
03/22/2018
Last updated
03/22/2018
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