KELLY KOUSTAS

Licensed Practical Nurse

NPI: 1528437597Individual

Specialties, Licenses & Credentials

Licensed Practical NursePrimary

Licensed Practical Nurse

Code: 164W00000X

4703110676(MI)

Contact & Hours

Address: 751 E GRAND BLVD
DETROIT, MI 48207
Phone: (313) 995-0523

Quick Facts

NPI: 1528437597
Entity Type: Individual
Gender: Female
Medicare: Not confirmed
Specialties: 1
Locations: 1

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