Individual
TYIKESHA ASHFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19853 OUTER DR, DEARBORN, MI 48124-2066
(313) 406-5056
(248) 712-4381
Mailing address
19853 OUTER DR, DEARBORN, MI 48124-2066
(313) 406-5056
(248) 712-4381
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
—
Other
Enumeration date
08/05/2021
Last updated
08/05/2021
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