Individual
KESHA GLIMPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
513 CHERRY ORCHARD, CANTON, MI 48188
(248) 558-0454
Mailing address
480 N CANTON CENTER RD # 1523, CANTON, MI 48187-8781
(248) 558-0454
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8018659
—
MI
Enumeration date
09/24/2020
Last updated
09/24/2020
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