Individual
TIMKA NECOLE TOLLIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14811 PATTON ST, DETROIT, MI 48223-2027
(313) 778-5727
Mailing address
9631 LITTLEFIELD ST, DETROIT, MI 48227-3426
(313) 828-0954
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
04/04/2024
Last updated
04/04/2024
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