SearchMichigan363LF0000X

Myla Bacalso

NPI 1841724929 · on the registry since 2017

Practice

Address
50083 Margaret Ave
Macomb, MI 48044
Phone
(586) 412-0838

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-02-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan