Individual
TAMMY VO-MOTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2275 W JEFFERSON AVE, TRENTON, MI 48183-2114
(734) 675-7210
Mailing address
13112 GOLF LAKE DR, TAYLOR, MI 48180-7960
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601007321
MI
Other
Enumeration date
03/26/2015
Last updated
03/26/2015
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