TANISHA LADORA SMITH

DETROIT, MI
NPI1740904986
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: MI  4703089997)
Enumeration Date2022-09-30
Last Update Date2022-09-30
Business Address
TANISHA LADORA SMITH
4646 JOHN R ST
DETROIT, MI 48201-1916
Phone number: 313-576-1000
Mailing Address
TANISHA LADORA SMITH
4646 JOHN R ST
DETROIT, MI 48201-1916
Phone number: 313-576-1000