Individual
KIMBERLY HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23044 CROSSLEY AVE, HAZEL PARK, MI 48030-1602
(248) 727-3139
Mailing address
23044 CROSSLEY AVE, HAZEL PARK, MI 48030-1602
(248) 727-3139
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
MI
Other
Enumeration date
03/27/2015
Last updated
03/27/2015
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