Individual
IESHA S LYLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
19044 W CHICAGO ST, DETROIT, MI 48228-1736
(313) 409-6467
Mailing address
16162 BURGESS, DETROIT, MI 48219-3844
(313) 399-7201
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
230055815830512
MI
Other
Enumeration date
05/26/2025
Last updated
05/26/2025
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