Individual
KEANNA WATTERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
26115 DUNNING ST, INKSTER, MI 48141-2400
(313) 799-6676
Mailing address
26441 ROSS DR, REDFORD, MI 48239-2964
(313) 799-6676
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/18/2023
Last updated
12/18/2023
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