Individual
TATANESHA GABRIELLE SPEARS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21315 FRAZER AVE, SOUTHFIELD, MI 48075-3855
(248) 835-9053
Mailing address
21315 FRAZER AVE, SOUTHFIELD, MI 48075-3855
(248) 835-9053
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
04/03/2024
Last updated
04/03/2024
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