Individual
TANISHA DELOISE PRATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21350 CONCORD ST, SOUTHFIELD, MI 48076-5626
(313) 727-1622
Mailing address
21350 CONCORD ST, SOUTHFIELD, MI 48076-5626
(313) 727-1622
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
MI
Other
Enumeration date
05/01/2025
Last updated
05/01/2025
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