Individual
TYKHEEMA KEIARA PRICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1841 N PERRY ST, PONTIAC, MI 48340-2235
(248) 745-4900
Mailing address
8301 16 1/2 MILE RD APT 23, STERLING HEIGHTS, MI 48312-1847
(248) 819-0197
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/13/2023
Last updated
06/13/2023
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