Individual
KIESHA A WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11410 E LENNON RD, LENNON, MI 48449-9666
(810) 621-4721
Mailing address
705 W MAIN ST, DURAND, MI 48429-1539
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
03/16/2018
Last updated
03/16/2018
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