Individual
MRS. JEAN TASHINA TANIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2944 FULLER AVE NE, SUITE 301, GRAND RAPIDS, MI 49505-3784
(616) 284-5871
(616) 774-1001
Mailing address
35425 W MICHIGAN AVE, WAYNE, MI 48184-9800
(734) 467-7600
(734) 467-7636
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/14/2015
Last updated
11/08/2024
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