Dildy, Keanna Jaleesa
Dildy, Keanna Jaleesa is an individual health care provider with primary practice located at 19251 Mack Ave Ste M450 , Grosse Pointe Woods MI 48236-2893. She recently has only one registered license in Eye and Vision Services Providers / Technician/Technologist, which is considered as her primary health care specialty. Dildy, Keanna Jaleesa can be contacted via phone (313) 343-1370.Contact Information
Primary practice address
19251 Mack Ave Ste M450
Grosse Pointe Woods MI 48236-2893
Phone: (313) 343-1370
Fax: (248) 712-4381
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Technician/Technologist | 156F00000X |
Profile Details
| NPI number | 1265016869 |
|---|---|
| LBN Legal business name | Dildy, Keanna Jaleesa |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 10th, 2021 |
| Last updated | May 10th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Popular Providers
-
Kircus, Rachel
19251 Mack Ave Ste M450 , Grosse Pointe Woods MI 48236-2893 -
Holton, Cassidy Ann
19251 Mack Ave Ste M450 , Grosse Pointe Woods MI 48236-2893 -
Dickerson, Emoni
19251 Mack Ave Ste M450 , Grosse Pointe Woods MI 48236-2893 -
Croone, Alliyah
19251 Mack Ave Ste M450 , Grosse Pointe Woods MI 48236-2893 -
Lyons-Thomas, Takya Sharda
19251 Mack Ave , Grosse Pointe Woods MI 48236-2893 -
Reid, Danielle
19251 Mack Ave Ste M450 , Grosse Pointe Woods MI 48236-2893 -
Hayes, Stephanie
19251 Mack Ave , Grosse Pointe Woods MI 48236-2893 -
Bailey, Trinity
19251 Mack Ave , Grosse Pointe Woods MI 48236-2893