Individual
TAMARA WESLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9000 E. JEFFERSON APT 28-14, DETROIT, MI 48214
Mailing address
9000 E. JEFFERSON APT 28-14, DETROIT, MI 48214
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704250870
MI
Other
Enumeration date
02/06/2018
Last updated
02/06/2018
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