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1962097717
KYESHA NICOLE WORTHAM
DETROIT, MI
NPI
1962097717
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
(Licence: MI 230012659100806)
Enumeration Date
2021-03-03
Last Update Date
2021-03-03
Business Address
Mrs. KYESHA NICOLE WORTHAM CNA
14218 BRAILE ST
DETROIT, MI 48223-2720
Phone number: 313-404-8244
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Mailing Address
Mrs. KYESHA NICOLE WORTHAM CNA
14218 BRAILE ST
DETROIT, MI 48223-2720
Phone number: 313-404-8244
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