Individual
IKEIA TYNIKA HILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1627 LOTUS, GRAND RAPIDS, MI 49508
(616) 617-4942
Mailing address
1627 LOTUS, GRAND RAPIDS, MI 49506
(616) 617-5942
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703113367
MI
Other
Enumeration date
11/27/2018
Last updated
11/27/2018
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