Individual
TOMIKA HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24566 RENSSELAER ST, OAK PARK, MI 48237-1727
(334) 424-7609
Mailing address
24566 RENSSELAER ST, OAK PARK, MI 48237-1727
(334) 424-7609
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703119484
MI
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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