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Mrs. Kayli Jean Gandara
Licensed Practical Nurse in Highland Park, Michigan
NPI 1710532809

Kayli Jean Gandara is a Licensed Practical Nurse based in Highland Park, MI. Kayli Jean Gandara practices in Highland Park, MI. The NPI Number for Kayli Jean Gandara is 1710532809 and holds a License No. 4703117329 (Michigan).

The current practice location address for Kayli Jean Gandara is 12501 Hamilton Ave, Highland Park, MI and can be reached out via phone at 313-865-1580. You can also correspond with Kayli Jean Gandara through the mailing address at 12501 HAMILTON AVE, HIGHLAND PARK, MI - 48203-3243 (mailing address contact number: 313-865-1580).

Location: 12501 Hamilton Ave, Highland Park, MI, 48203-3243
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710532809
Provider Name
Kayli Jean Gandara
Credential
Provider Entity Type
Individual
Gender
Female
Address
12501 Hamilton Ave, Highland Park, MI, 48203-3243
Phone Number
313-865-1580
Fax Number
Provider Enumeration Date
08/06/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12501 Hamilton Ave
City
Highland Park
State
Michigan
Zip
48203-3243
Phone Number
313-865-1580
Fax Number
person
Provider Business Mailing Address Details
Address
12501 Hamilton Ave
City
Highland Park
State
Michigan
Zip
48203-3243
Phone Number
313-865-1580
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
4703117329 (Michigan)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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