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Tameca Lucian Baccus
Licensed Practical Nurse in Highland Park, Michigan
NPI 1588248868

Tameca Lucian Baccus is a Licensed Practical Nurse based in Highland Park, MI. Tameca Lucian Baccus practices in Highland Park, MI. The NPI Number for Tameca Lucian Baccus is 1588248868 and holds a License No. 4703113818 (Michigan).

The current practice location address for Tameca Lucian Baccus is 12501 Hamilton Ave, Highland Park, MI and can be reached out via phone at 313-865-1580 and via fax at 313-865-1580.

Location: 12501 Hamilton Ave, Highland Park, MI, 48203-3243
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588248868
Provider Name
Tameca Lucian Baccus
Credential
Provider Entity Type
Individual
Gender
Female
Address
12501 Hamilton Ave, Highland Park, MI, 48203-3243
Phone Number
313-865-1580
Fax Number
313-865-1580
Provider Enumeration Date
05/12/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12501 Hamilton Ave
City
Highland Park
State
Michigan
Zip
48203-3243
Phone Number
313-865-1580
Fax Number
313-865-1580
person
Provider Business Mailing Address Details
Address
12501 Hamilton Ave
City
Highland Park
State
Michigan
Zip
48203-3243
Phone Number
313-865-1580
Fax Number
313-865-1580
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
4703113818 (Michigan)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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