| Shamikka Tasley, | |
|
9910 Vaughan St, Detroit, MI 48228-1334 | |
| (313) 544-8603 | |
| Not Available |
| Full Name | Shamikka Tasley |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 9910 Vaughan St, Detroit, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144769290 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 4703115324 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Shamikka Tasley, 9910 Vaughan St, Detroit, MI 48228-1334 Ph: (313) 544-8603 | Shamikka Tasley, 9910 Vaughan St, Detroit, MI 48228-1334 Ph: (313) 544-8603 |
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