Individual
TANISHA KIRKLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1221 E GRAND BLVD, DETROIT, MI 48211-3428
(313) 720-7838
Mailing address
37450 SCHOOLCRAFT RD, LIVONIA, MI 48150-1082
(131) 348-2534
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
MI
Other
Enumeration date
03/25/2019
Last updated
03/25/2019
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