Individual
TAMIE LYNN GAETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2762 PIGEON RD, BAD AXE, MI 48413-9738
(989) 551-5204
(989) 269-0224
Mailing address
2762 PIGEON RD, BAD AXE, MI 48413-9738
(989) 551-5204
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
2883533
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
86-1482247
—
MI
Enumeration date
09/20/2021
Last updated
09/20/2021
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