Individual
JASON CHILDERS I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1110 ELDON BAKER DR, FLINT, MI 48507-1923
(810) 742-3134
(810) 742-3445
Mailing address
1110 ELDON BAKER DR, FLINT, MI 48507-1923
(810) 742-3134
(810) 742-3445
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704287758
MI
Other
Enumeration date
01/30/2014
Last updated
01/30/2014
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