Individual
JENNIFER KIDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3111 ELECTRIC AVE, PORT HURON, MI 48060-8127
(810) 985-8900
Mailing address
3111 ELECTRIC AVE, PORT HURON, MI 48060-8127
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
MI
Other
Enumeration date
02/23/2022
Last updated
02/23/2022
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