Tanazia Reynolds

NPI #1881142255 in Harrison Twp, Michigan

Provider Information

NPI Number: 1881142255
Entity Type: Individual
Name: Tanazia Reynolds
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Sep 14, 2016
Last Updated: Sep 14, 2016

Practice Location

Address: 24855 ORCHID ST
City: Harrison Twp
State: Michigan
ZIP Code: 48045-3365
Phone: (586) 303-6194

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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