Individual
KEESHA REANN SANTA MARIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3101 PRAIRIE ST SW, GRANDVILLE, MI 49418-2047
(616) 531-9973
Mailing address
1664 R W BERENDS DR SW APT 9, WYOMING, MI 49519-4971
(616) 970-4474
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704390362
MI
Other
Enumeration date
03/11/2025
Last updated
03/12/2025
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