Shavonne Tankersley

NPI # 

Practice Address:

1588 London Ave

Lincoln Park, MI, 48146-3522

Practice Phone:

313-740-0590

License Number:

4703111700

License State:

MI

Taxonomy Grouping:

Nursing Service Providers

Taxonomy Classification:

Licensed Practical Nurse

Taxonomy Code:

164W00000X

Updated by NPPES on 8/18/2014. You can view the original data set for NPI # 1255730057 on the official NPPES website. If the information about this NPI provider/company is outdated you can request updates through the NPPES website. See our FAQ page for more information.

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