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Individual

TAMIKA JENNINGS

Active
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Individual

TAMIKA JENNINGS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
MI
172V00000X
Community Health Worker
251E00000X
Home Health Agency
MI
3747P1801X
Personal Care Attendant
Primary
MI
374U00000X
Home Health Aide
376G00000X
Nursing Home Administrator

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
251E00000X
MI
05
3747P1801X
MI
05
8331085
MI
Enumeration date
07/22/2024
Last updated
06/02/2026
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