Individual
TANIKA RILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1410 S TELEGRAPH RD, BLOOMFIELD TOWNSHIP, MI 48302-0046
(248) 456-8150
Mailing address
20168 WOODBURN DR, SOUTHFIELD, MI 48075-7573
(313) 303-3841
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704315018
MI
Other
Enumeration date
11/03/2023
Last updated
11/03/2023
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