Individual
KIMBERLY MATHIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
37578 FOUNTAIN PARK CIR, APT 428, WESTLAND, MI 48185-5627
(734) 459-8010
Mailing address
37578 FOUNTAIN PARK CIR, APT 428, WESTLAND, MI 48185-5627
(734) 459-8010
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
M320469585696
MI
Other
Enumeration date
01/25/2011
Last updated
01/25/2011
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