Individual
KA BOU XIONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTAAS
Contact information
Practice address
2399 E WALTON BLVD, AUBURN HILLS, MI 48326-1955
(248) 475-6300
Mailing address
31160 WILDWOOD ST APT 5212, WIXOM, MI 48393-2628
(182) 844-9932
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/09/2024
Last updated
02/09/2024
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