Individual
TAWANA DANIELLE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
866 BLAINE ST, DETROIT, MI 48202-1938
(313) 207-6928
Mailing address
866 BLAINE ST, DETROIT, MI 48202-1938
(313) 207-6928
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704325576
MI
Other
Enumeration date
11/08/2020
Last updated
11/08/2020
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