Individual
MRS. KADEJAH DORENA COON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5260 IVANHOE ST, DETROIT, MI 48204-3632
(313) 407-2088
Mailing address
5260 IVANHOE ST, DETROIT, MI 48204-3632
(313) 407-2088
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
MI
Other
Enumeration date
04/03/2024
Last updated
04/03/2024
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