Individual
TAMELA MARIE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
19601 SAN JOSE BLVD, LATHRUP VILLAGE, MI 48076-3227
(248) 392-1250
Mailing address
19750 BURT RD, DETROIT, MI 48219-2078
(313) 531-2500
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
4704283469
MI
Other
Enumeration date
06/20/2013
Last updated
08/19/2022
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