Individual
TANYA COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2521 N ELMS RD, FLUSHING, MI 48433-9423
(810) 487-5521
Mailing address
2521 N ELMS RD, FLUSHING, MI 48433-9423
(810) 487-5521
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704317860
MI
Other
Enumeration date
08/29/2019
Last updated
08/29/2019
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