Individual
TANAZIA REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24855 ORCHID ST, HARRISON TWP, MI 48045-3365
(586) 303-6194
Mailing address
24855 ORCHID ST, HARRISON TWP, MI 48045-3365
(586) 303-6194
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
09/14/2016
Last updated
09/14/2016
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