Individual
TSEDAQAH LOURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 CARE CENTER DR, MANISTEE, MI 49660-2206
(313) 922-2222
(866) 287-5710
Mailing address
300 CARE CENTER DR, MANISTEE, MI 49660-2206
(313) 922-2222
(866) 287-5710
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
09/19/2024
Last updated
09/19/2024
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