Individual
TANYA MARLENE AZIZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
828 ROSE DR, ANN ARBOR, MI 48103-2175
(734) 546-5561
Mailing address
828 ROSE DR, ANN ARBOR, MI 48103-2175
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704215171
MI
Other
Enumeration date
11/28/2017
Last updated
11/28/2017
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