Individual
SALIM KENETHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2001 15 MILE RD, STERLING HEIGHTS, MI 48310-4864
(586) 693-5060
(586) 693-5060
Mailing address
2001 15 MILE RD, STERLING HEIGHTS, MI 48310-4864
(586) 693-5060
(586) 693-5060
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
220452
MI
Other
Enumeration date
10/02/2017
Last updated
11/10/2022
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