Individual
JENNA MAURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
26544 66TH AVE, LAWTON, MI 49065-8504
(269) 501-7238
Mailing address
26544 66TH AVE, LAWTON, MI 49065-8504
(269) 501-7238
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
08/08/2016
Last updated
08/08/2016
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