Provider Demographics
NPI:1467213389
Name:CURRIE, TAMICIA
Entity Type:Individual
Prefix:
First Name:TAMICIA
Middle Name:
Last Name:CURRIE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 13693
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85284-0062
Mailing Address - Country:US
Mailing Address - Phone:602-743-7155
Mailing Address - Fax:
Practice Address - Street 1:2020 W BASELINE RD STE 172
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85041-6573
Practice Address - Country:US
Practice Address - Phone:602-743-7155
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-18
Last Update Date:2024-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach