MISS Kali Aleece Pung

NPI #1295064673 in Alma, Michigan

Provider Information

NPI Number: 1295064673
Entity Type: Individual
Name: MISS Kali Aleece Pung
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Dec 15, 2009
Last Updated: Dec 15, 2009

Practice Location

Address: 5475 BLUE HERON DR
City: Alma
State: Michigan
ZIP Code: 48801-9590
Phone: (989) 463-3940

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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