Individual
TAWANDA PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
26648 RYAN RD, APT B4, WARREN, MI 48091-1146
(313) 989-8658
Mailing address
18541 PLYMOUTH RD, APT 2, DETROIT, MI 48228-1170
(313) 989-8658
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
P60078522027
MI
Other
Enumeration date
07/01/2015
Last updated
07/01/2015
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