Individual
TANYA CALLANDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16234 PINE RIDGE DR N, FRASER, MI 48026-5017
(313) 467-6304
Mailing address
16234 PINE RIDGE DR N, FRASER, MI 48026-5017
(313) 467-6304
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
02/14/2016
Last updated
02/14/2016
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