Individual
TAMICKA HOLLIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
26295 GRANDMONT ST, ROSEVILLE, MI 48066-3235
(248) 979-1373
Mailing address
26295 GRANDMONT ST., ROSEVILLE, MI 48066
(248) 979-1373
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/31/2013
Last updated
07/31/2013
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