Individual
KAWANA GAYNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8708 DESOTO ST, DETROIT, MI 48238-1765
(313) 775-0227
Mailing address
8708 DESOTO ST, DETROIT, MI 48238-1765
(313) 775-0227
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
MI
Other
Enumeration date
12/08/2022
Last updated
12/08/2022
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