SearchMichigan163W00000X

Tammie King

NPI 1740604594 · on the registry since 2014 · sole proprietor

Practice

Address
22927 Lakeshore Dr
Saint Clair Shores, MI 48080
Phone
(313) 613-0485
Organisation at this address
Minds Of Moms
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
163W00000X
163W00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-02-14

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