SearchMichigan311ZA0620X

Tasha Harris

NPI 1881051712 · on the registry since 2016 · sole proprietor

Practice

Address
6402 Penrod St
Detroit, MI 48228
Phone
(313) 914-8742
Organisation at this address
Senior Palace Llc.
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
311ZA0620X
311ZA0620X
Sex
Female
Record last updated
2016-01-22

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