SearchMichigan225X00000X

Kia Glass, OTR

NPI 1710198916 · on the registry since 2007 · sole proprietor

Practice

Address
18930 Rainbow Ct
Lathrup Village, MI 48076
Phone
(248) 200-8001

Registry record

Primary taxonomy
225X00000X
225X00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan