Individual
JAN WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3300 LANSING AVE, JACKSON, MI 49202-1621
(517) 784-2929
(517) 784-3030
Mailing address
3300 LANSING AVE, JACKSON, MI 49202-1621
(517) 784-2929
(517) 784-3030
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703079536
MI
Other
Enumeration date
10/11/2018
Last updated
10/11/2018
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