Individual provider · Type 1 NPI

Brooke Elizabeth Keoshian

Student in an Organized Health Care Education/Training Program · Southgate, MI

NPI number 1952070906 Active

Practice location

19401 Northline Rd
Southgate, MI 48195-2277

Mailing address

37431 Castle Dr
Romulus, MI 48174-1013

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1952070906

Brooke Elizabeth Keoshian's National Provider Identifier is 1952070906, issued on Sep 12, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Southgate, MI. The record was last updated on Sep 12, 2021.