Individual
LERINE PATRICIA MECHOUELA-TALOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 HEMLOCK ST, TAWAS CITY, MI 48763-9237
(989) 362-9466
Mailing address
111 ADAMS ST, EAST TAWAS, MI 48730-1501
(734) 512-6164
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302412362
MI
Other
Enumeration date
03/03/2021
Last updated
03/03/2021
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