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Individual

LUM EMELDA TCHI-ATABONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
12239 PINE ST, TAYLOR, MI 48180-4012
(313) 917-8304
Mailing address
12239 PINE ST, TAYLOR, MI 48180-4012
(313) 917-8304

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704322603
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1035133
TX

Other

Enumeration date
07/14/2016
Last updated
03/10/2026
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