Individual
MISS KATHY ANDREA BRAXTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
20212 RYAN RD, DETROIT, MI 48234-1930
(313) 424-3944
Mailing address
20212 RYAN RD, DETROIT, MI 48234-1930
(313) 424-3944
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704235556
MI
372500000X
Chore Provider
4704235556
MI
Other
Enumeration date
09/26/2012
Last updated
09/26/2012
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