Individual
MRS. TANYA PATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2306 MOUNTAIN AVE, FLINT, MI 48503-2298
(810) 513-2762
Mailing address
2306 MOUNTAIN AVE, FLINT, MI 48503-2298
(810) 513-2762
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
MI
Other
Enumeration date
06/15/2016
Last updated
06/15/2016
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