Individual
MR. TALIB AMANULLAEV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
27378 PARKVIEW BLVD APT 4314, WARREN, MI 48092-3501
(586) 339-2178
Mailing address
27378 PARKVIEW BLVD APT 4314, WARREN, MI 48092-3501
(586) 525-8712
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
Primary
—
—
174H00000X
Health Educator
—
—
Other
Enumeration date
02/19/2025
Last updated
02/19/2025
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