Individual
MISS SHANIA KIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1367 CHISSOM TRL, FLINT, MI 48532-2309
(810) 820-7648
(810) 820-7648
Mailing address
1367 CHISSOM TRL, FLINT, MI 48532-2309
(810) 820-7648
(810) 820-7648
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/26/2024
Last updated
09/26/2024
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