Individual
TANGANYIKA WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12555 WILFRED ST, DETROIT, MI 48213-1435
(313) 858-0322
Mailing address
12555 WILFRED ST, DETROIT, MI 48213-1435
(313) 858-0322
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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