Individual
TIAWNA MICHELLE BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
25050 OUTER DR, LINCOLN PARK, MI 48146-1297
(313) 751-8404
Mailing address
31008 BARRINGTON ST, WESTLAND, MI 48186-5323
(313) 333-0223
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
4704279209
MI
Other
Enumeration date
01/13/2022
Last updated
01/13/2022
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