Individual
TYLER MACKIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25720 SOUTHFIELD RD, SOUTHFIELD, MI 48075-1834
(248) 946-7116
Mailing address
25720 SOUTHFIELD RD, SOUTHFIELD, MI 48075-1834
(248) 946-7116
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
10/26/2022
Last updated
01/26/2023
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