Individual
TANESHA HOLMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4250 WOODWARD AVE, DETROIT, MI 48201-1818
(313) 833-8100
Mailing address
4250 WOODWARD AVE, DETROIT, MI 48201-1818
(313) 833-8100
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
NONE
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
09/10/2016
Last updated
09/10/2016
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