Individual
TONGALA RIAS-GADNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
20904 CUNNINGHAM AVE, WARREN, MI 48091-2721
(313) 410-5386
(586) 393-1255
Mailing address
20904 CUNNINGHAM AVE, WARREN, MI 48091-2721
(313) 410-5386
(586) 393-1255
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703114869
MI
Other
Enumeration date
01/03/2017
Last updated
01/03/2017
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