Individual
TAMIKA IDELL BUFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10350 W 9 MILE RD, OAK PARK, MI 48237-2913
(248) 569-7550
Mailing address
10350 W 9 MILE RD, OAK PARK, MI 48237-2913
(248) 569-7550
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
47004250923
MI
Other
Enumeration date
01/01/2020
Last updated
01/01/2020
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