Individual
AISSATOU GNIMA COLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12660 WASHBURN ST, DETROIT, MI 48238-3060
(248) 825-6670
Mailing address
19333 ASHTON AVE, DETROIT, MI 48219-2103
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
AS820418543
MI
Other
Enumeration date
01/19/2026
Last updated
01/19/2026
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