SearchMichigan103TC0700X

Miranda Shores, TLLP

NPI 1730900937 · on the registry since 2024 · sole proprietor

Practice

Address
1660 Fort St
Trenton, MI 48183
Phone
(734) 304-4159
Clinicians at this address
36

Registry record

Primary taxonomy
103TC0700X
103TC0700X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-10-21

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