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Individual

KAWANA SEANN THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
27218 YALE ST, INKSTER, MI 48141-2552
(313) 686-4583
Mailing address
27218 YALE ST, INKSTER, MI 48141-2552
(313) 686-4583

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
230010431010305
MI

Other

Enumeration date
12/27/2023
Last updated
12/27/2023
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