Individual
TANIESHA WARREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6960 ORCHARD LAKE RD STE 330, WEST BLOOMFIELD, MI 48322-4584
(248) 226-0400
Mailing address
6960 ORCHARD LAKE RD STE 330, WEST BLOOMFIELD, MI 48322-4584
Taxonomy
Speciality
Code
Description
License number
State
163WM1400X
Nurse Massage Therapist (NMT)
Primary
4704310007
MI
Other
Enumeration date
09/26/2025
Last updated
09/26/2025
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