Individual
THOMASINIA TERRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
422 W FOURTH AVE, FLINT, MI 48503
(810) 496-5117
(810) 257-3715
Mailing address
422 W FOURTH AVE, FLINT, MI 48503
(810) 496-5117
(810) 257-3715
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
02/09/2017
Last updated
02/09/2017
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