Individual
KIEARA WRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4218 HIGH ST, ECORSE, MI 48229-1514
(734) 855-5087
Mailing address
4218 HIGH ST, ECORSE, MI 48229-1514
(734) 855-5087
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703114432
MI
Other
Enumeration date
06/17/2015
Last updated
06/17/2015
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