NPI 1194567107

Teanna L Puentes, MEDICALASSISTANT

Practitioner Nurse's Aide Southgate, MI

Practice location

Address: 13101 Allen Rd, Southgate, MI 48195-2216
Phone: (734) 785-7705
Mailing address: 15240 Allen Rd, Taylor, MI 48180-5384

Registered specialties

Nurse's Aide Primary

Nursing Service Related Providers Taxonomy 376K00000X

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Registry record

NPI: 1194567107
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Jun 2024
Record last updated: 10 Jun 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.