Tara Naomi Nicolette
ActiveMichigan license EMC0001344
License
- Licensed by
- Michigan Department of Licensing and Regulatory Affairs
- License number
- EMC0001344
- Status
- Active
- First issued
- October 5, 2021
- Expires
- October 5, 2027
- License holder
- Tara Naomi Nicolette
- Entity type
- Individual
Classifications
- Expedited Compact (Health) Other Health Care
Contact
3 Imperial Dr
Greenville, SC 29615
Greenville, SC 29615