Organization
CISSERI CARE PROMOTIONS LLC
Active
Other names
SARAH KIRONDE
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH KIRONDE (CEO)
(313) 932-2163
Entity
Organization
Contact information
Practice address
28931 W 11 MILE RD, FARMINGTON HILLS, MI 48336-1403
(313) 932-2163
Mailing address
28931 W 11 MILE RD, FARMINGTON HILLS, MI 48336-1403
(313) 932-2163
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0863058
—
MI
Enumeration date
09/17/2018
Last updated
09/17/2018
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