Individual
ANGELA DENISE KIMBALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25172 MAPLEBROOKE DR, SOUTHFIELD, MI 48033-5282
(248) 678-1713
(248) 809-3116
Mailing address
25172 MAPLEBROOKE DR, SOUTHFIELD, MI 48033-5282
(248) 678-1713
(248) 809-3116
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/20/2019
Last updated
11/20/2019
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