Individual
TENILLE DANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17318 WOODBINE ST, DETROIT, MI 48219-3624
(313) 657-2467
Mailing address
17318 WOODBINE ST, DETROIT, MI 48219-3624
(313) 657-2467
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703092696
MI
Other
Enumeration date
05/21/2015
Last updated
05/21/2015
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