Individual
JESSICA ROSE MAZZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 GENESYS PKWY, GRAND BLANC, MI 48439-8065
(810) 606-7392
Mailing address
200 MULLINS DR, LEBANON, OR 97355-3983
(541) 259-0235
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
5151016649
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
12/27/2021
Last updated
05/08/2024
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