| T L Sea Llc | |
|
15201 W Mcnichols Rd Detroit MI 48235-3717 | |
| (313) 516-3142 | |
| Not Available |
| Full Name | T L Sea Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 15201 W Mcnichols Rd, Detroit, Michigan |
| Authorized Official Name and Position | Tonya Collins (CEO) |
| Authorized Official Contact | 3135163142 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| T L Sea Llc 3500 E Jefferson Ave Apt 329 Detroit MI 48207-4396 Ph: () - | T L Sea Llc 15201 W Mcnichols Rd Detroit MI 48235-3717 Ph: (313) 516-3142 |
| NPI Number | 1023673910 |
|---|---|
| Provider Enumeration Date | 05/06/2019 |
| Last Update Date | 05/06/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023673910 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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