Individual
TAMICA CLINTON BUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10570 S US HIGHWAY 1 # 300-1003, PORT SAINT LUCIE, FL 34952-5606
(561) 401-5057
Mailing address
10570 S US HIGHWAY 1 # 300-1003, PORT SAINT LUCIE, FL 34952-5606
(561) 401-5057
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
08/25/2025
Last updated
08/25/2025
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