Individual
TANISHA ROBINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11117 RACINE RD, WARREN, MI 48093-6563
(313) 353-3917
Mailing address
11117 RACINE RD, WARREN, MI 48093-6563
(313) 353-3917
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
20250000268
MI
Other
Enumeration date
02/26/2025
Last updated
02/26/2025
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