Individual provider · Type 1 NPI

Keanna Jaleesa Dildy

Technician/Technologist · Grosse Pointe Woods, MI

NPI number 1265016869 Active

Practice location

19251 Mack Ave Ste M450
Grosse Pointe Woods, MI 48236-2893

Fax (248) 712-4381

Specialties and licenses

TaxonomyCodeLicense
Technician/Technologist Primary 156F00000XNone listed

Technician/Technologist: A broad category grouping different kinds of technologists and technicians. See individual definitions.

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About NPI 1265016869

Keanna Jaleesa Dildy's National Provider Identifier is 1265016869, issued on May 10, 2021. The primary taxonomy on file is Technician/Technologist (156F00000X), and the practice location is in Grosse Pointe Woods, MI. The record was last updated on May 10, 2021.