Individual
THERRIAN TATUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15907 AVON RD, DETROIT, MI 48223-1369
(313) 300-5372
Mailing address
15907 AVON RD, DETROIT, MI 48223-1369
(947) 888-8150
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
MI
Other
Enumeration date
11/13/2024
Last updated
11/13/2024
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