Individual
KIMBERLY ANN HALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12794 MANOR ST, DETROIT, MI 48238-3082
(313) 556-3921
Mailing address
18051 MENDOTA ST, DETROIT, MI 48221-2331
(313) 727-7649
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
J520469067020
MI
Other
Enumeration date
08/06/2024
Last updated
08/06/2024
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