Individual
MRS. JEVONA N MANIEX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EFDA, EFODA, MBA
Contact information
Practice address
27351 DEQUINDRE RD, MADISON HEIGHTS, MI 48071-3487
(586) 753-1323
Mailing address
27351 DEQUINDRE RD, MADISON HEIGHTS, MI 48071-3487
(586) 753-1323
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
115716
OR
Other
Enumeration date
12/28/2011
Last updated
01/30/2014
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