Individual
MS. ALISA MCKINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1907 ORLEANS ST, DETROIT, MI 48207-2906
(313) 656-7974
Mailing address
1907 ORLEANS ST, DETROIT, MI 48207-2906
(313) 656-7974
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
230014960310
MI
Other
Enumeration date
02/18/2011
Last updated
02/18/2011
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