Tanya R Depue

NPI #1629830690 in Cedar Springs, Michigan

Provider Information

NPI Number: 1629830690
Entity Type: Individual
Name: Tanya R Depue
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Health Worker
Enumeration Date: Jan 25, 2024
Last Updated: Jan 25, 2024

Practice Location

Address: 12080 EDGERTON AVE
City: Cedar Springs
State: Michigan
ZIP Code: 49319-7934
Phone: (231) 224-3489

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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