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Individual

TAMIKO RICE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, APRN, PMHNP-BC

Contact information

Practice address
22777 HARPER AVE, SAINT CLAIR SHORES, MI 48080-1868
(586) 588-9441
Mailing address
24715 LITTLE MACK AVE STE 200, SAINT CLAIR SHORES, MI 48080-3207
(517) 882-3732
(517) 882-3633

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704366856
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704366856
MI

Other

Enumeration date
05/12/2022
Last updated
12/10/2024
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