Individual
KHELLI WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
26554 SUNNINGDALE DR, INKSTER, MI 48141-1920
(313) 645-4042
Mailing address
26554 SUNNINGDALE DR, INKSTER, MI 48141-1920
(313) 645-4042
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
10/31/2015
Last updated
10/31/2015
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