Individual
KEISHA HOWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
8033 E 10 MILE RD, CENTER LINE, MI 48015-1427
(586) 756-6661
(586) 756-6933
Mailing address
28840 MAPLE ST, ROSEVILLE, MI 48066-2434
(313) 930-7129
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703078186
MI
Other
Enumeration date
07/25/2019
Last updated
07/25/2019
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