Tanisha Willis
Tanisha Willis is an Other Technician in Detroit, Michigan. Practices as a sole proprietor. Registered with an NPI since 2017.
- In the registry since
- 2017
Practice location Address checks out
3745 Cass AveDetroit, MI 48201-1719
Phone: (313) 833-1168
Fax: (313) 832-8606
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Other Technician (primary) | Taxonomy 247200000X |
|---|
Record details
| NPI number | 1053836833 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 14, 2017 |
| Last updated in NPPES | August 14, 2017 |
| Mailing address | 3745 Cass Ave, Detroit, MI 48201-1719 |
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