Individual
JORDAN LAING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4138 WESTWIND DR, DEWITT, MI 48820-9228
(517) 668-0938
Mailing address
4138 WESTWIND DR, DEWITT, MI 48820-9228
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/16/2024
Last updated
07/16/2024
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