Individual
CARLY ELIZABETH JEHNZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
710 NORTH AVE, BATTLE CREEK, MI 49017-3258
(269) 704-3133
Mailing address
601 JOHN STREET, BOX 39, KALAMAZOO, MI 49007
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601010182
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
MI
Other
Enumeration date
02/10/2020
Last updated
01/22/2021
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