Individual
TANISHA LALASHANN MCCRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
175 N GROESBECK HWY, MOUNT CLEMENS, MI 48043-1562
(586) 255-7166
Mailing address
21228 SYRACUSE AVE, WARREN, MI 48091-4357
(313) 647-2482
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
MI
Other
Enumeration date
01/22/2024
Last updated
01/22/2024
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