| K R Dinkins Enterprises Llc | |
|
24333 Southfield Rd Ste 103 Southfield MI 48075-2848 | |
| (313) 867-1115 | |
| Not Available |
| Full Name | K R Dinkins Enterprises Llc |
|---|---|
| Speciality | Counselor |
| Location | 24333 Southfield Rd Ste 103, Southfield, Michigan |
| Authorized Official Name and Position | Jeannine Tyree (DIRECTOR/OWNER) |
| Authorized Official Contact | 3133120259 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| K R Dinkins Enterprises Llc 24333 Southfield Rd Ste 103 Southfield MI 48075-2848 Ph: (313) 867-1115 | K R Dinkins Enterprises Llc 24333 Southfield Rd Ste 103 Southfield MI 48075-2848 Ph: (313) 867-1115 |
| NPI Number | 1922627058 |
|---|---|
| Provider Enumeration Date | 04/09/2020 |
| Last Update Date | 04/24/2020 |
| Certification Date | 04/24/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922627058 | NPI | - | NPPES |
| 00000000000 | Other | N/A |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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