Individual
TEANA TONJA HAAKIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4646 JOHN R ST, DETROIT, MI 48201-1916
(313) 576-1000
Mailing address
17341 WASHBURN ST, DETROIT, MI 48221-2440
(313) 800-2797
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703131405
MI
Other
Enumeration date
10/10/2025
Last updated
10/10/2025
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