Individual
ALYSSA LYNN TANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1524 E BROADWAY ST, MOUNT PLEASANT, MI 48858-2933
(989) 854-8334
Mailing address
1033 PAR DR, WEIDMAN, MI 48893-9338
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MI
Other
Enumeration date
05/09/2022
Last updated
05/09/2022
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