Provider Demographics
NPI:1720261845
Name:GIROUX, TRICIA (CTRS)
Entity Type:Individual
Prefix:MRS
First Name:TRICIA
Middle Name:
Last Name:GIROUX
Suffix:
Gender:F
Credentials:CTRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15101 HIAWATHA DR
Mailing Address - Street 2:
Mailing Address - City:BYRON
Mailing Address - State:MI
Mailing Address - Zip Code:48418-9024
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:15101 HIAWATHA DR
Practice Address - Street 2:
Practice Address - City:BYRON
Practice Address - State:MI
Practice Address - Zip Code:48418-9024
Practice Address - Country:US
Practice Address - Phone:810-877-8797
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-12
Last Update Date:2007-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker