SearchMichigan332B00000X

Tia Fails

NPI 1548690977 · on the registry since 2013 · sole proprietor

Practice

Address
19151 Grand River Ave
Detroit, MI 48223
Phone
(313) 600-7768
Fax
(313) 794-3001
Organisation at this address
Joyful Bond
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
332B00000X
332B00000X
Sex
Female
Record last updated
2013-11-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan