Individual
TASHA WHITEHEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3319 GREENFIELD RD # 275, DEARBORN, MI 48120-1212
(248) 361-9650
(248) 663-7572
Mailing address
3319 GREENFIELD RD # 275, DEARBORN, MI 48120-1212
(248) 361-9650
(248) 663-7572
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703109242
MI
Other
Enumeration date
06/29/2022
Last updated
01/22/2026
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