Organization
A1 OPTIMUM HEALTH LOGISTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOURIA KING (ADMINISTRATOR)
(313) 522-4058
Entity
Organization
Contact information
Practice address
195 W 9 MILE RD STE 207, FERNDALE, MI 48220-1750
(313) 522-4058
Mailing address
195 W 9 MILE RD STE 207, FERNDALE, MI 48220-1750
(313) 522-4058
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/01/2020
Last updated
10/01/2020
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