Amicah Desiray Tolbert
NPI #1063972800 in Southfield, Michigan
Provider Information
- NPI Number
- 1063972800
- Entity Type
- Individual
- Name
- Amicah Desiray Tolbert
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Mar 20, 2019
- Last Updated
- Mar 20, 2019
Practice Location
- Address
- 17608 GATEWAY CIR
- City
- Southfield
- State
- Michigan
- ZIP Code
- 48075-4718
- Phone
- (248) 238-9195
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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