Individual
DIANA L TIGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
279 SUMMIT DR, WATERFORD, MI 48328-3364
(248) 409-4140
(248) 745-6872
Mailing address
279 SUMMIT DR, WATERFORD, MI 48328-3364
(248) 409-4140
(248) 745-6872
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/04/2020
Last updated
03/04/2020
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