Individual
TASHOMBI NICOLE VINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1608 LAKE ST, KALAMAZOO, MI 49001-3170
(269) 344-0202
Mailing address
536 MAYNARD AVE NW UNIT 204, GRAND RAPIDS, MI 49504-4930
(269) 579-3978
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
MI
Other
Enumeration date
02/17/2026
Last updated
02/17/2026
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