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Individual

MERANDA PATTAH KALASHO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
4165 ANTIQUE LN, BLOOMFIELD TOWNSHIP, MI 48302-1803
(248) 412-3491
Mailing address
4165 ANTIQUE LN, BLOOMFIELD TOWNSHIP, MI 48302-1803
(248) 412-3491

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704334158
MI
363LF0000X
Family Nurse Practitioner
Primary
4704334158
MI

Other

Enumeration date
01/02/2022
Last updated
01/02/2022
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