Individual
KYISHA YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1685 BALDWIN AVE, PONTIAC, MI 48340-1242
(248) 706-3450
Mailing address
19786 LESURE ST, DETROIT, MI 48235-1522
(313) 424-5344
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/27/2023
Last updated
03/27/2023
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