Tanzy Childrey, | |
2336 Hogan Way, Canton, MI 48188-6301 | |
(313) 414-6406 | |
Not Available |
Full Name | Tanzy Childrey |
---|---|
Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 2336 Hogan Way, Canton, Michigan |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073909610 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | 4703112194 (Michigan) | Primary |
Mailing Address | Practice Location Address |
---|---|
Tanzy Childrey, 2336 Hogan Way, Canton, MI 48188-6301 Ph: (313) 414-6406 | Tanzy Childrey, 2336 Hogan Way, Canton, MI 48188-6301 Ph: (313) 414-6406 |
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