Individual
TATIYANA RICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5802 S 9TH ST, KALAMAZOO, MI 49009-9603
(813) 484-9720
Mailing address
15826 KENTUCKY ST, DETROIT, MI 48238-1130
(813) 484-9720
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704380139
MI
Other
Enumeration date
10/16/2025
Last updated
10/16/2025
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