Individual
JUDE CORNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12517 S WEST BAY SHORE DR, TRAVERSE CITY, MI 49684-5269
(231) 590-3056
Mailing address
12517 S WEST BAY SHORE DR, TRAVERSE CITY, MI 49684-5269
(231) 590-3056
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
10/14/2015
Last updated
10/14/2015
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