Individual
KIMBERLY ANN BLAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5404 HEATH AVE, CLARKSTON, MI 48346-3535
(248) 525-3836
Mailing address
5404 HEATH AVE, CLARKSTON, MI 48346-3535
(248) 525-3836
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
MI
Other
Enumeration date
12/18/2023
Last updated
12/18/2023
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