Individual
TIFFANY PERNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20215 VERNIER RD APT 1, HARPER WOODS, MI 48225-1452
(313) 721-4683
Mailing address
20215 VERNIER RD APT 1, HARPER WOODS, MI 48225-1452
(313) 721-4683
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
10/07/2015
Last updated
10/07/2015
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