Individual
MRS. RAEDEANE KENWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8542 HOLLY RD, GRAND BLANC, MI 48439
(810) 603-7887
(810) 720-1306
Mailing address
8542 HOLLY RD, GRAND BLANC, MI 48439
(810) 603-7887
(810) 720-1306
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2902008900
MI
Other
Enumeration date
02/06/2018
Last updated
02/06/2018
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