Individual
JESSIE MAURER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1375 R DALE WERTZ DR, BAD AXE, MI 48413-1365
(989) 269-9293
Mailing address
5080 RUTH RD, RUTH, MI 48470-9732
(810) 837-2031
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704301080
MI
Other
Enumeration date
08/29/2019
Last updated
08/29/2019
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