THERESA ANN KISSCORNI

GRANDVILLE, MI
NPI1730710203
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163WH0200X Registered Nurse, Home Health
(Licence: MI  4704273648)
Enumeration Date2020-02-03
Last Update Date2020-02-03
Business Address
THERESA ANN KISSCORNI
3097 PRAIRIE ST SW
GRANDVILLE, MI 49418-2000
Phone number: 616-531-9973
Mailing Address
THERESA ANN KISSCORNI
290 SUNCREST CT SW
GRANDVILLE, MI 49418-3211
Phone number: 989-392-9691
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