Individual
MRS. TAMERA LYNN KOSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
35180 NANKIN BLVD STE 204, WESTLAND, MI 48185-2092
(313) 961-4890
Mailing address
32647 LEONA ST, GARDEN CITY, MI 48135-3229
(734) 536-0520
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
4704292963
MI
Other
Enumeration date
11/03/2021
Last updated
11/03/2021
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