AMANDA TANNER

FERNDALE, MI
NPI1861122541
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MI  4704327018)
Enumeration Date2022-06-15
Last Update Date2022-06-15
Business Address
AMANDA TANNER
1603 E 9 MILE RD
FERNDALE, MI 48220-2065
Phone number: 248-514-4955
Mailing Address
AMANDA TANNER
1603 E 9 MILE RD
FERNDALE, MI 48220-2065
Phone number: 248-514-4955
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