Individual
CHRISTINE KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3843 RUSSELL ST, DETROIT, MI 48207-4713
(313) 574-0628
Mailing address
3843 RUSSELL ST, DETROIT, MI 48207-4713
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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