Individual
KE'ANNA J DEMINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12673 RONDA DR, SOUTHGATE, MI 48195-2344
(734) 363-4789
Mailing address
12673 RONDA DR, SOUTHGATE, MI 48195-2344
(734) 363-4789
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704333627
MI
Other
Enumeration date
01/06/2021
Last updated
01/06/2021
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