Individual
TIENNA T MERRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12335 RIAD ST, DETROIT, MI 48224-1576
(313) 728-4799
Mailing address
12335 RIAD ST, DETROIT, MI 48224-1576
(313) 728-4799
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
174N00000X
Lactation Consultant (Non-RN)
—
—
374J00000X
Doula
Primary
—
—
Other
Enumeration date
11/23/2024
Last updated
12/13/2024
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