Individual
TELA GOULD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
8088 VINEYARD PKWY, KALAMAZOO, MI 49009-3892
(269) 286-7160
Mailing address
7901 S 12TH ST STE 200, PORTAGE, MI 49024-3831
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
4704304217
MI
163WP2201X
Ambulatory Care Registered Nurse
4704304217
MI
Other
Enumeration date
12/07/2020
Last updated
04/15/2022
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