Individual
MELISSA ANN HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
6031 JADE LN, BRIDGEPORT, MI 48722-9523
(989) 890-2513
Mailing address
6031 JADE LN, BRIDGEPORT, MI 48722-9523
(989) 890-2513
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703110685
MI
Other
Enumeration date
06/16/2022
Last updated
06/16/2022
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