Individual
MRS. KYRA CANADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
27491 BELL RD, SOUTHFIELD, MI 48034-2080
(248) 910-0708
Mailing address
27491 BELL RD, SOUTHFIELD, MI 48034-2080
(248) 910-0708
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
10/11/2019
Last updated
10/11/2019
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