Individual
MISS KAIYA WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
7361 ASHTON AVE, DETROIT, MI 48228-3448
(313) 629-4401
Mailing address
7361 ASHTON AVE, DETROIT, MI 48228-3448
(313) 629-4401
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703109129
MI
Other
Enumeration date
04/27/2015
Last updated
04/27/2015
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