Individual
BRAUNDA MELLICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
920 CLINTON AVE, SAINT CLAIR, MI 48079-4951
(810) 434-1644
Mailing address
920 CLINTON AVE, SAINT CLAIR, MI 48079-4951
(810) 434-1644
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703049729
MI
Other
Enumeration date
01/29/2014
Last updated
01/29/2014
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