Individual
MELISA TAGHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1853 R W BERENDS DR SW, WYOMING, MI 49519-4955
(616) 534-9301
Mailing address
6333 195TH AVE, STANWOOD, MI 49346-9537
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
704278005
MI
Other
Enumeration date
05/17/2024
Last updated
05/17/2024
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