Individual
TARA VALENTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
990 W ANN ARBOR TRL, SUITE 210, PLYMOUTH, MI 48170-6204
(734) 455-4600
(734) 455-5637
Mailing address
24 FRANK LLOYD WRIGHT DR, PO BOX 0446 LOBBY J, ANN ARBOR, MI 48105-9484
(734) 747-6766
(734) 222-3100
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
4704270179
MI
Other
Enumeration date
09/26/2016
Last updated
09/26/2016
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