Individual
MS. KIARRA RENEA GAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, EMT-P
Contact information
Practice address
5150 RUDGATE CIR, STERLING HEIGHTS, MI 48310-2077
(248) 563-1592
Mailing address
5150 RUDGATE CIR, STERLING HEIGHTS, MI 48310-2077
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
1878908
MI
163W00000X
Registered Nurse
4704360624
MI
163WE0003X
Emergency Registered Nurse
Primary
4704360624
MI
Other
Enumeration date
06/04/2021
Last updated
06/21/2022
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