MYLA GUANGCO BACALSO

MACOMB, MI
NPI1841724929
Former NameMYLA BACALSO DUCUSIN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MI  4704200259)
Enumeration Date2017-04-17
Last Update Date2021-02-04
Business Address
MYLA GUANGCO BACALSO
50083 MARGARET AVE
MACOMB, MI 48044-6340
Phone number: 586-412-0838
Mailing Address
MYLA GUANGCO BACALSO
26901 BEAUMONT BLVD
SOUTHFIELD, MI 48033-3849
Phone number: 248-577-3313
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