Individual
CHARNAE KEITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
882 OAKMAN BLVD STE C, DETROIT, MI 48238-4019
(313) 961-4890
Mailing address
882 OAKMAN BLVD STE C, DETROIT, MI 48238-4019
(313) 961-4890
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
08/29/2019
Last updated
08/29/2019
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