Individual
TAIA SARDINAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7251 E CONGRESS ST APT 307, DETROIT, MI 48214-2395
(734) 431-3180
Mailing address
7251 E CONGRESS ST APT 307, DETROIT, MI 48214-2395
(734) 431-3180
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002318570
MERIDIAN
MI
Enumeration date
11/01/2018
Last updated
11/01/2018
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