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Individual

LAKISHA TASHARA KIRKSEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
8100 GRATIOT AVE APT 601, DETROIT, MI 48213-2971
(313) 460-9944
Mailing address
8100 GRATIOT AVE APT 601, DETROIT, MI 48213-2971
(313) 460-9944

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary

Other

Enumeration date
07/01/2021
Last updated
07/01/2021
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