Individual
KIESHA CALDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16595 ASHTON AVE, DETROIT, MI 48219-4104
(623) 888-9229
Mailing address
PO BOX 4593, DETROIT, MI 48204-0593
(623) 888-9229
Taxonomy
Speciality
Code
Description
License number
State
2278H0200X
Home Health Certified Respiratory Therapist
Primary
—
—
Other
Enumeration date
07/23/2020
Last updated
07/23/2020
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