Individual
MICHELLE MAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
51427 MEGAN CT, GRANGER, IN 46530-7832
(574) 226-3913
Mailing address
51427 MEGAN CT, GRANGER, IN 46530-7832
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/25/2024
Last updated
06/25/2024
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