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Individual

TESSA BARKS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1749 HAMILTON RD STE 102E, OKEMOS, MI 48864-1941
(517) 482-2118
Mailing address
151 S PUTNAM ST APT 1, WILLIAMSTON, MI 48895-1335

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
151500
MI

Other

Enumeration date
05/01/2022
Last updated
09/20/2024
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