Individual
RICHETTA KEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4646 JOHN R ST, DETROIT, MI 48201-1916
(313) 350-3040
Mailing address
PO BOX 944, TROY, MI 48099-0944
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
4704246882
MI
163WE0003X
Emergency Registered Nurse
4704276882
MI
163WG0000X
General Practice Registered Nurse
Primary
4704276882
MI
163WI0500X
Infusion Therapy Registered Nurse
4704276882
MI
Other
Enumeration date
08/01/2022
Last updated
08/01/2022
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