Individual
BARBARA SUZANNE TYSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
301 GLENDALE ST, APT B8, HIGHLAND PARK, MI 48203
(954) 678-2620
Mailing address
P.O. BOX 3913, HIGHLAND PARK, MI 48203
(313) 333-4292
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
06/27/2011
Last updated
06/27/2011
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