TIFANI BAISDEN

MACOMB, MI
NPI1598367328
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: MI  4704305401)
Enumeration Date2020-11-16
Last Update Date2021-05-14
Business Address
TIFANI BAISDEN
48332 STAPLETON AVE
MACOMB, MI 48042-5193
Phone number: 586-260-8097
Mailing Address
TIFANI BAISDEN
48332 STAPLETON AVE
MACOMB, MI 48042-5193
Phone number: 586-260-8097
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