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Individual

MS. TAMMY LEE KUJALA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
18101 OAKWOOD BLVD, DEARBORN, MI 48124-4089
(734) 564-7430
(313) 436-2722
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
(947) 522-1863
(313) 436-2722

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704197703
MI
363LA2100X
Acute Care Nurse Practitioner
Primary
4704197703
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12631123
CAQH
MI
Enumeration date
08/15/2012
Last updated
07/20/2022
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