MARY TANISHA BURKS

DETROIT, MI
NPI1750100509
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
(Licence: MI  B620587785544)
Enumeration Date2024-10-08
Last Update Date2024-10-08
Business Address
MARY TANISHA BURKS
12854 HICKORY ST
DETROIT, MI 48205-3412
Phone number: 313-782-6631
Mailing Address
MARY TANISHA BURKS
12854 HICKORY ST
DETROIT, MI 48205-3412
Phone number: 313-782-6631
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