Individual
TONISHA BLACKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
42360 ANN ARBOR RD E # 120, PLYMOUTH, MI 48170-4303
(248) 993-5751
Mailing address
42360 ANN ARBOR RD E # 120, PLYMOUTH, MI 48170-4303
(248) 993-5751
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703113460
MI
Other
Enumeration date
04/07/2026
Last updated
04/07/2026
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