Individual
TANISHA GARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14010 APPOLINE ST, DETROIT, MI 48227-3969
(734) 330-6834
Mailing address
14010 APPOLINE ST, DETROIT, MI 48227-3969
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
03/24/2016
Last updated
03/24/2016
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