Individual
ANTZELA TSIAMOURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3901 BEAUBIEN ST, DETROIT, MI 48201-2119
(313) 745-5437
Mailing address
3901 BEAUBIEN ST, DETROIT, MI 48201-2196
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
363AM0700X
Medical Physician Assistant
Primary
—
MI
Other
Enumeration date
11/12/2020
Last updated
09/23/2025
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