Individual
JEANETTE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23999 W 10 MILE RD, SOUTHFIELD, MI 48033-3158
(313) 736-1961
Mailing address
12245 BEECH DALY RD # 40192, REDFORD, MI 48239-5000
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
12/31/2024
Last updated
01/08/2025
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