Individual
KATEISHA POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
38598 MEADOWDALE ST, CLINTON TWP, MI 48036-3512
(313) 473-7778
Mailing address
PO BOX 66357, ROSEVILLE, MI 48066-6357
(313) 473-7778
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
MI
Other
Enumeration date
05/06/2019
Last updated
10/11/2024
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