NPI 1306162649

Tinetra Evett-Taylor Burns, MSRSSTCACM

Practitioner Contractor Ecorse, MI

Practice location

Address: 3850 12th Street, Ecorse, MI 48229-1319
Phone: (313) 693-2141
Mailing address: 3850 12th St, Ecorse, MI 48229-1319

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence 6803085412 (MI)

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Registry record

NPI: 1306162649
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Apr 2010
Record last updated: 12 Apr 2010

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.