Individual
MARY L TANDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20701 DAMMAN ST # 623, HARPER WOODS, MI 48225-1773
(248) 469-3713
(248) 469-3713
Mailing address
29155 NORTHWESTERN HWY # 623, SOUTHFIELD, MI 48034-1011
(248) 469-3713
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
347E00000X
Transportation Broker
—
—
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
10/26/2017
Last updated
10/26/2017
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