Individual
MICKIE TINGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7014 DEWEESE RD, JACKSON, MI 49201-7515
(269) 716-6970
Mailing address
890 N 10TH ST, KALAMAZOO, MI 49009-6192
(269) 427-8400
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704225660
MI
Other
Enumeration date
07/18/2022
Last updated
07/18/2022
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