Individual
TALESHIA MONAE MCCOLLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21705 MADA AVE, SOUTHFIELD, MI 48075-7504
(248) 767-6720
Mailing address
22011 FERN ST, OAK PARK, MI 48237-3943
(248) 767-6720
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
09/25/2023
Last updated
09/25/2023
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