TIERRA RENE RUSSAW

WESTLAND, MI
NPI1649882135
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
(Licence: MI  DWP3647)
Enumeration Date2020-08-18
Last Update Date2020-08-18
Business Address
TIERRA RENE RUSSAW
29079 ANNAPOLIS RD STE 510
WESTLAND, MI 48186-5104
Phone number: 313-919-0655
Mailing Address
TIERRA RENE RUSSAW
500 MADISON AVE STE 510
TOLEDO, OH 43604-1210
Phone number: 419-215-7886