Individual
TAMIKA BURNETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5908 BELVIDERE ST, DETROIT, MI 48213-3008
(313) 543-4480
Mailing address
307 MANDY ROSE TRCE, STOCKBRIDGE, GA 30281-2353
(313) 543-4480
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
08/30/2020
Last updated
08/30/2020
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