Individual
TASHIA LATRICE PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15560 JOY RD, DETROIT, MI 48228-8200
(947) 957-8634
Mailing address
15560 JOY RD, DETROIT, MI 48228-8200
(947) 957-8634
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
MI
Other
Enumeration date
10/31/2023
Last updated
10/31/2023
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