Individual
KIM CZARNOTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3803 ORCHARD DR, HIGHLAND, MI 48356-1955
(313) 910-7089
Mailing address
33300 FIVE MILE RD STE 200, LIVONIA, MI 48154-3077
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
4704235391
MI
Other
Enumeration date
08/16/2016
Last updated
08/16/2016
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