Individual
MS. WENDY K MEHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
12245 TREAT HWY, JASPER, MI 49248-9719
(517) 673-2670
Mailing address
PO BOX 161, JASPER, MI 49248-0161
(517) 673-2670
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
47-03-076659
MI
Other
Enumeration date
03/19/2015
Last updated
03/19/2015
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