Individual
TASHA COVELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14730 9 MILE RD, KALEVA, MI 49645-9333
(231) 384-5970
Mailing address
14730 9 MILE RD, KALEVA, MI 49645-9333
(231) 384-5970
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
05/15/2015
Last updated
05/15/2015
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