Individual
LEA SIMONE TABB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22277 W 12 MILE RD APT 23, SOUTHFIELD, MI 48034-4668
(586) 222-2872
Mailing address
22277 W 12 MILE RD APT 23, SOUTHFIELD, MI 48034-4668
(586) 222-2872
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
MI
Other
Enumeration date
08/31/2024
Last updated
08/31/2024
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