Tammy Lee Amezcua NP

NPI 1073861415 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1073861415
Gender Female
Enumeration Date 08/15/2012
Last Updated 02/20/2014
Entity Type Individual
Active Over 4 years ago
Practice Location
18101 OAKWOOD BLVD
DEARBORN MI, 48124-4089, US
Phone (734) 564-7430
Fax (313) 436-2722
Business Location
18101 OAKWOOD BLVD
DEARBORN MI, 48124-4089, US
Phone (734) 564-7430
Fax (313) 436-2722
Toxanomy
Taxonomy Code 363L00000X
License State Michigan
License Number 4704197703
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According to our database, Ms. Tammy Lee Amezcua NP NPI is 1073861415, taxonomy code is 363L00000X and license number is 4704197703, license state is located at Michigan. Tammy Lee Amezcua NP physically located at 18101 Oakwood Blvd, Dearborn MI, 48124-4089. NPI Number Tammy Lee Amezcua NP has the Individual type.

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1073861415 NPI number is provided on an as is basis without warranty of any kind. 1073861415 is maintained by the National Plan & Provider Enumeration System. The contents of Tammy Lee Amezcua NP are for informational purposes only.