Individual
TAMIKA DARCELLE PITTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
14733 S TELEGRAPH RD, MONROE, MI 48161-9545
(734) 243-8707
Mailing address
14733 S TELEGRAPH RD, MONROE, MI 48161-9545
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703115968
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598084550
—
MI
Enumeration date
10/17/2017
Last updated
10/17/2017
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