Individual
MRS. TINA LAVERNE TALTON-PATTILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
420 W 5TH AVE, FLINT, MI 48503-2445
(810) 496-5013
(810) 257-3713
Mailing address
420 W 5TH AVE, FLINT, MI 48503-2445
(810) 496-5013
(810) 257-0713
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
175T00000X
—
MI
Enumeration date
06/10/2022
Last updated
06/10/2022
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