Individual
MELODY RESHON HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
352 VISSER PL SE, GRAND RAPIDS, MI 49506-1541
(616) 262-4392
Mailing address
352 VISSER PL SE, GRAND RAPIDS, MI 49506-1541
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704344430
MI
Other
Enumeration date
01/15/2021
Last updated
01/15/2021
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