Individual
TANISHA KAY BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHW
Contact information
Practice address
100 MACK AVE, DETROIT, MI 48201-2416
(313) 204-8027
Mailing address
100 MACK AVE, DETROIT, MI 48201-2416
(313) 204-8027
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
171400000X
Health & Wellness Coach
—
—
172V00000X
Community Health Worker
Primary
—
MI
Other
Enumeration date
10/24/2024
Last updated
10/24/2024
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