Tameca Lucian Baccus
NPI #1588248868 in Highland Park, Michigan
Provider Information
- NPI Number
- 1588248868
- Entity Type
- Individual
- Name
- Tameca Lucian Baccus
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- May 12, 2021
- Last Updated
- May 12, 2021
Practice Location
- Address
- 12501 HAMILTON AVE
- City
- Highland Park
- State
- Michigan
- ZIP Code
- 48203-3243
- Phone
- (313) 865-1580
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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