Individual
MOHOGANY TYIESE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13854 LAKESIDE CIR, STERLING HTS, MI 48313-1316
(586) 435-9757
Mailing address
13854 LAKESIDE CIR, STERLING HTS, MI 48313-1316
(586) 580-4977
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
03/24/2017
Last updated
03/24/2017
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