Individual
JENNIFER HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2215 CICOTTE AVE, LINCOLN PARK, MI 48146-1349
(313) 977-0570
Mailing address
2215 CICOTTE AVE, LINCOLN PARK, MI 48146-1349
(313) 977-0570
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704217404
MI
Other
Enumeration date
05/13/2015
Last updated
05/13/2015
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