KANSAS THOMAS

DETROIT, MI
NPI1104213016
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: MI  4703114921)
Enumeration Date2015-04-17
Last Update Date2015-04-17
Business Address
-- KANSAS THOMAS
8930 APPOLINE ST
DETROIT, MI 48228-2624
Phone number: 313-399-0616
Mailing Address
-- KANSAS THOMAS
8930 APPOLINE ST
DETROIT, MI 48228-2624
Phone number: 313-399-0616