Individual
MELANIE CECILIA KOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2600 LINCOLN AVE, SAINT JOSEPH, MI 49085-3356
(269) 556-9654
Mailing address
2600 LINCOLN AVE, SAINT JOSEPH, MI 49085-3356
(269) 556-9654
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301011135
MI
Other
Enumeration date
09/05/2021
Last updated
09/05/2021
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