Kelsea Cierra Chisolm
Technician/Technologist in Dearborn, MI. Individual provider (NPI-1).
NPI number1336717693
StatusActive
Last updated in NPPESJun 14, 2021
Details
- NPI
- 1336717693
- Entity type
- Individual (NPI-1)
- Name
- Kelsea Cierra Chisolm
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 14, 2021
- Certification date
- Jun 14, 2021
- Last updated
- Jun 14, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 156F00000X | Technician/Technologist | – | – | Yes |
Practice location
19853 Outer DrDearborn, MI 48124-2066
Phone 313-406-5056 · Fax 248-712-4381
Mailing address
19853 Outer DrDearborn, MI 48124-2066
Phone 313-406-5056 · Fax 248-712-4381
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All 232 Technician/Technologist providers in Dearborn · All 7,276 providers in Dearborn
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