Individual
ALEXIS SHIRLEY-FIDELMAN TABAKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PN
Contact information
Practice address
300 NORTH AVE, BATTLE CREEK, MI 49017-3307
(269) 986-8075
Mailing address
4281 BECKLEY RD, BATTLE CREEK, MI 49015-9327
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/19/2025
Last updated
05/19/2025
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