Individual
MRS. JODY LYNN PREHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
43825 MICHIGAN AVE, CANTON, MI 48188-2551
(734) 397-3088
Mailing address
3805 HAYES ST, WAYNE, MI 48184-1924
(734) 828-9633
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704280712
MI
Other
Enumeration date
07/01/2019
Last updated
11/21/2024
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