Individual
MRS. TAMARA RUTH CIHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
1070 NORTH PARK DR, TEMPERANCE, MI 48182
(734) 847-6036
(734) 847-5667
Mailing address
1070 N PARK DR, TEMPERANCE, MI 48182-9301
(734) 847-6036
(734) 847-5667
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
5502000257
MI
Other
Enumeration date
10/11/2012
Last updated
10/11/2012
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