SearchMichigan164W00000X

Tacarra Thomas

NPI 1417806142 · on the registry since 2026

Practice

Address
5599 John C Lodge Fwy
Detroit, MI 48202
Phone
(313) 452-1090

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-01-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan