Individual
MS. MICHELLE L CUNNINGHAM-TENNYSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA. PCA
Contact information
Practice address
15593 PARK VILLAGE BLVD, TAYLOR, MI 48180-4885
(734) 486-6874
Mailing address
15593 PARK VILLAGE BLVD, TAYLOR, MI 48180-4885
(734) 486-6874
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
MI000050170
MI
Other
Enumeration date
11/18/2020
Last updated
11/18/2020
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