Individual
TASHAWNA M SIMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
212 WILLARD STREET, PONTIAC, MI 48342
(313) 955-3638
Mailing address
212 WILLARD STREET, PONTIAC, MI 48342
(313) 955-3638
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/14/2020
Last updated
08/03/2021
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