Tesna Mary Mathew RPT

NPI 1093960874 - Clinic/Center - 261QP2000X

NPI Details
NPI 1093960874
Gender Female
Enumeration Date 11/20/2008
Last Updated 11/20/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
6180 W MICHIGAN AVE
YPSILANTI MI, 48197-9214, US
Phone (248) 346-2425
Fax
Business Location
2614 STADIUM VIEW DR
UNIT 5
YPSILANTI MI, 48197-1590, US
Phone (248) 346-2425
Fax
Toxanomy
Taxonomy Code 261QP2000X
License State Michigan
License Number 5501008595
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According to our database, Mrs. Tesna Mary Mathew RPT NPI is 1093960874, taxonomy code is 261QP2000X and license number is 5501008595, license state is located at Michigan. Tesna Mary Mathew RPT physically located at 6180 W Michigan Ave, Ypsilanti MI, 48197-9214. NPI Number Tesna Mary Mathew RPT has the Individual type.

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1093960874 NPI number is provided on an as is basis without warranty of any kind. 1093960874 is maintained by the National Plan & Provider Enumeration System. The contents of Tesna Mary Mathew RPT are for informational purposes only.