Individual
AMANDA MARIE KISIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4477 LAKE MICHIGAN DR, ALLENDALE, MI 49401-9103
(248) 880-3397
Mailing address
4477 LAKE MICHIGAN DR, ALLENDALE, MI 49401-9103
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
MI
Other
Enumeration date
03/05/2020
Last updated
03/05/2020
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