Individual
KADRIYE LOUISE TANYEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1115 BALL AVE NE, GRAND RAPIDS, MI 49505-5904
(616) 456-6571
Mailing address
2911 BURTON ST SE, GRAND RAPIDS, MI 49546-5103
(724) 510-9144
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/28/2023
Last updated
08/28/2023
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