Individual
KIYEESHA WILDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17295 PALMER ST, 2, MELVINDALE, MI 48122-1247
(248) 469-3898
Mailing address
17295 PALMER ST, 2, MELVINDALE, MI 48122-1247
(248) 469-3898
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
03/12/2017
Last updated
03/12/2017
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