| NPI | 1811022379 |
|---|---|
| Professional Name | GINA LYN MEYLAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: MI 2901018380) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MI 2901018380) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2022-06-21 |