TAMECA LUCIAN BACCUS

HIGHLAND PARK, MI
NPI1588248868
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: MI  4703113818)
Enumeration Date2021-05-12
Last Update Date2021-05-12
Business Address
TAMECA LUCIAN BACCUS
12501 HAMILTON AVE
HIGHLAND PARK, MI 48203-3243
Phone number: 313-865-1580
Mailing Address
TAMECA LUCIAN BACCUS
12501 HAMILTON AVE
HIGHLAND PARK, MI 48203-3243
Phone number: 313-865-1580
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