Individual
TIAUNA BYAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3737 LAWTON ST, DETROIT, MI 48208-2500
(313) 361-6136
Mailing address
16826 MANOR ST, DETROIT, MI 48221-2863
(313) 207-3910
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703117814
MI
Other
Enumeration date
03/15/2025
Last updated
03/15/2025
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