Individual
HEIDI TANKERSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2485 HORACE ST, WEST BLOOMFIELD, MI 48324-3640
(734) 334-0908
Mailing address
2485 HORACE ST, WEST BLOOMFIELD, MI 48324-3640
(734) 334-0908
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86069091
MI
Other
Enumeration date
09/16/2024
Last updated
09/16/2024
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