Shavonne Tankersley
NPI #1255730057 in Lincoln Park, Michigan
Provider Information
- NPI Number
- 1255730057
- Entity Type
- Individual
- Name
- Shavonne Tankersley
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Aug 18, 2014
- Last Updated
- Aug 18, 2014
Practice Location
- Address
- 1588 LONDON AVE
- City
- Lincoln Park
- State
- Michigan
- ZIP Code
- 48146-3522
- Phone
- (313) 740-0590
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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