Individual
MS. CYNITRA TINIKA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
623 DORCHESTER DR APT 126, ROCHESTER HILLS, MI 48307-4028
(248) 565-7370
(248) 817-8878
Mailing address
623 DORCHESTER DR APT 126, ROCHESTER HILLS, MI 48307-4028
(248) 565-7370
(248) 817-8878
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
800315464
CHAMPS
MI
Enumeration date
12/30/2019
Last updated
12/30/2019
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