Individual
NICOLE M TUCKERCAUSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22046 POINCIANA ST, SOUTHFIELD, MI 48033-3546
(248) 885-5725
Mailing address
22046 POINCIANA ST, SOUTHFIELD, MI 48033-3546
(248) 885-5725
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/22/2013
Last updated
04/22/2013
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