Individual
KINARRI MARIE-NICHOLE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14799 DIX TOLEDO RD, SOUTHGATE, MI 48195-2507
(313) 870-8727
Mailing address
14799 DIX TOLEDO RD, SOUTHGATE, MI 48195-2507
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/29/2023
Last updated
08/29/2023
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