Individual
JACQUELINE BLEISCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2440 JONES RD., WATERFORD, MI 48327
(248) 673-2625
Mailing address
2440 JONES RD., WATERFORD, MI 48327
(248) 673-2625
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/29/2016
Last updated
09/29/2016
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