KEESHA MICHELLE WALLACE

CANTON, MI
NPI1750828588
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: MI  4704311979)
Enumeration Date2017-01-31
Last Update Date2017-01-31
Business Address
-- KEESHA MICHELLE WALLACE RN,BSN
982 PRINCESS DR
CANTON, MI 48188-1147
Phone number: 734-620-2584
Mailing Address
-- KEESHA MICHELLE WALLACE RN,BSN
982 PRINCESS DR
CANTON, MI 48188-1147
Phone number: 734-620-2584
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