Female

Tawanda Perry

Community Health Worker in Warren, MI(View on Map)

Full Name

Tawanda Perry

NPI Number

1053794644

NPI Type

Individual Provider

Gender

Female

Enumeration Date

07/01/2015

Specialties

(Taxonomies)

Code

172V00000X

Primary Taxonomy

Yes

Licenses

State

Michigan

License Number

P60078522027

Contact
Information

Purpose

Mailing
Location

Address

18541 PLYMOUTH RD
26648 RYAN RD

City

Detroit
Warren

State

MI
MI

Postal Code

48228-1170
48091-1146

Country

US
US

Telephone Number

(313) 989-8658
(313) 989-8658

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/01/2015

Provider Address

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