Individual
TAMICA K BOYD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15890 LAMPHERE, DETROIT, MI 48223
(313) 693-9625
Mailing address
15890 LAMPHERE ST, DETROIT, MI 48223-1006
(313) 693-9625
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
471411183
—
MI
Enumeration date
10/24/2016
Last updated
10/24/2016
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