Individual
KENNEDY CHEYENNE BOOKER I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16184 WARD ST, DETROIT, MI 48235-4231
(313) 805-8101
Mailing address
16184 WARD ST, DETROIT, MI 48235-4231
(313) 805-8101
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
MI
Other
Enumeration date
12/04/2017
Last updated
12/04/2017
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