Most Relevant Information
Provider Data
NPI Number: | 1003536541 |
Provider Name: | DEREK CURTIS THAMARUS |
Entity Type: | Individual |
Taxonomy Code: | 163W00000X |
Specialty: | Registered Nurse |
License Number: | 4704226619 |
Most Important Dates
Enumeration Date: | 09/02/2022 |
Last Updated: | 09/02/2022 |
Provider Practice Location
4646 JOHN R ST
DETROIT
MI
482011916
Practice Location Phone/Fax
Phone: | 3135761294 |
Fax: |
Provider Mailing Location
4646 JOHN R ST
DETROIT
MI
482011916
Provider Mailing Phone/Fax
Phone: | |
Fax: |