Individual
TAMMIE KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22927 LAKESHORE DR, SAINT CLAIR SHORES, MI 48080-2716
(313) 613-0485
Mailing address
22927 LAKESHORE DR, SAINT CLAIR SHORES, MI 48080-2716
(313) 613-0485
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704270233
MI
Other
Enumeration date
02/14/2014
Last updated
02/14/2014
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