Organization
T L SEA LLC
Active
Organization
T L SEA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONYA COLLINS (CEO)
(313) 516-3142
Entity
Organization
Contact information
Practice address
15201 W MCNICHOLS RD, DETROIT, MI 48235-3717
(313) 516-3142
Mailing address
3500 E JEFFERSON AVE APT 329, DETROIT, MI 48207-4396
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
05/06/2019
Last updated
05/06/2019
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