Individual
TARA SALDANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
133 E WALLED LAKE DR, WALLED LAKE, MI 48390-3599
(248) 943-1579
Mailing address
133 E WALLED LAKE DR, WALLED LAKE, MI 48390-3599
(248) 943-1579
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703110692
MI
Other
Enumeration date
03/02/2016
Last updated
03/02/2016
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