Shavonne Tankersley, | |
1588 London Ave, Lincoln Park, MI 48146-3522 | |
(313) 740-0590 | |
Not Available |
Full Name | Shavonne Tankersley |
---|---|
Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 1588 London Ave, Lincoln Park, Michigan |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255730057 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | 4703111700 (Michigan) | Primary |
Mailing Address | Practice Location Address |
---|---|
Shavonne Tankersley, 1588 London Ave, Lincoln Park, MI 48146-3522 Ph: (313) 740-0590 | Shavonne Tankersley, 1588 London Ave, Lincoln Park, MI 48146-3522 Ph: (313) 740-0590 |
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