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Individual

MS. DELISCIA JENEE TAPSICO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
L.P.N.

Contact information

Practice address
13929 HARPER AVE, DETROIT, MI 48213-3672
(313) 371-0055
Mailing address
23077 PIPER AVE, EASTPOINTE, MI 48021-1733
(313) 808-7211

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703093587
MI

Other

Enumeration date
11/09/2010
Last updated
11/09/2010
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