KIONNA LASHAUN PAYNE

GRAND RAPIDS, MI
NPI1730680745
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: MI  4703105261)
Enumeration Date2018-02-24
Last Update Date2018-02-24
Business Address
KIONNA LASHAUN PAYNE LPN
125 FAIR ST SE
GRAND RAPIDS, MI 49507-1749
Phone number: 773-946-6153
Mailing Address
KIONNA LASHAUN PAYNE LPN
125 FAIR ST SE
GRAND RAPIDS, MI 49507-1749
Phone number: 773-946-6153