Individual
MRS. JILL ELLEN TANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
217 E SANILAC RD, SUITE ONE, SANDUSKY, MI 48471-1383
(810) 648-4327
(810) 648-4338
Mailing address
3931 BANNER RD, DECKERVILLE, MI 48427-9705
(810) 376-3655
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
4704220836
MI
Other
Enumeration date
09/28/2006
Last updated
07/08/2007
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