Khalilah Edmondson, | |
13930 Forrer St, Detroit, MI 48227-1741 | |
(248) 716-4035 | |
Not Available |
Full Name | Khalilah Edmondson |
---|---|
Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 13930 Forrer St, Detroit, Michigan |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245723212 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | 4703106296 (Michigan) | Primary |
Mailing Address | Practice Location Address |
---|---|
Khalilah Edmondson, 20110 Cherrylawn St, Detroit, MI 48221-1105 Ph: (313) 409-0469 | Khalilah Edmondson, 13930 Forrer St, Detroit, MI 48227-1741 Ph: (248) 716-4035 |
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