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Individual

TIFFANY MITCHELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
27620 FARMINGTON RD, SUITE B2, FARMINGTON HILLS, MI 48334-3349
(248) 579-5814
(877) 678-3727
Mailing address
PO BOX 3452, SOUTHFIELD, MI 48037-3452
(248) 702-5551

Taxonomy

Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
291U00000X
Clinical Medical Laboratory

Other

Enumeration date
08/16/2013
Last updated
09/25/2016
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