Individual
TAMIKA DESHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6942 LAKESIDE DR APT 100A, WEST CHESTER, OH 45069-4455
(313) 629-5815
Mailing address
6942 LAKESIDE DR APT 100A, WEST CHESTER, OH 45069-4455
(313) 629-5815
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
03/28/2025
Last updated
04/02/2025
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