Individual
MR. KAHLFANI SHOMARI NANTAMBU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
33200 SCHOOLCRAFT RD STE 206, LIVONIA, MI 48150
(866) 698-7349
Mailing address
1200 NEWNAN CROSSING BLVD E APT 905, NEWNAN, GA 30265-1591
(678) 698-6587
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
MI
374U00000X
Home Health Aide
—
MI
376K00000X
Nurse's Aide
—
MI
Other
Enumeration date
08/28/2023
Last updated
09/20/2023
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