Individual
MELISSA BOLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10226 PECK RD, GREENVILLE, MI 48838-9535
(616) 788-4374
Mailing address
10226 PECK RD, GREENVILLE, MI 48838-9535
(616) 788-4374
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
06/30/2016
Last updated
06/30/2016
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