Individual
TAWANA MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
2284 S BALLENGER HWY, FLINT, MI 48503-3446
(810) 221-7871
Mailing address
620 GERMANTOWN PIKE, LAFAYETTE HILL, PA 19444-1810
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
11/30/2017
Last updated
11/30/2017
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