Individual
KRISTA MARI DE JESUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
43475 DALCOMA DR STE 208, CLINTON TOWNSHIP, MI 48038-3593
(586) 690-6234
Mailing address
43475 DALCOMA DR STE 208, CLINTON TOWNSHIP, MI 48038-3593
(586) 690-6234
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/23/2021
Last updated
10/30/2024
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