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Tammy Black

NPI 1841956224 · on the registry since 2021 · sole proprietor

Practice

Address
1641 Alter Rd
Detroit, MI 48215
Phone
(313) 903-0639

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-11-26

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