Individual
MISS KASHAE LEAVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16836 WARD ST, DETROIT, MI 48235-4235
(313) 808-6077
Mailing address
32406 CONCORD DR APT A, MADISON HEIGHTS, MI 48071-1217
(734) 560-9457
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
03/22/2024
Last updated
03/22/2024
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