Organization
MJO DERMAL RESCUE INC
Active
Other names
Our Little Secret Aesthetics
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY JO OLDFORD N.P. (PRESIDENT)
(248) 804-4323
Entity
Organization
Contact information
Practice address
4181 WINDMILL FARMS, MILFORD, MI 48380-4279
(248) 804-4323
Mailing address
4181 WINDMILL FARMS, MILFORD, MI 48380-4279
(248) 804-4323
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
Primary
—
—
Other
Enumeration date
04/18/2012
Last updated
04/18/2012
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