Individual
KISHANA EASTMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12010 LINWOOD ST, DETROIT, MI 48206-1108
(313) 865-1500
Mailing address
20109 E 8 MILE RD, APT 30, SAINT CLAIR SHORES, MI 48080-1689
(586) 738-4632
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/25/2023
Last updated
04/25/2023
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