Individual
TINA R WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23695 BLACKETT AVE, WARREN, MI 48089-4413
(734) 496-4856
Mailing address
23695 BLACKETT AVE, WARREN, MI 48089-4413
(734) 496-4856
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
12/07/2023
Last updated
12/07/2023
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