Individual
MRS. KALYSA MONIQUE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
12035 WAYBURN ST, GROSSE POINTE, MI 48224-1037
(313) 717-2552
Mailing address
12035 WAYBURN ST, GROSSE POINTE, MI 48224-1037
(313) 717-2552
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/13/2025
Last updated
09/10/2025
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