Individual
JESSICA LINAE PEZZOPANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5643 GILMAN ST, GARDEN CITY, MI 48135-2906
(734) 716-5953
Mailing address
5643 GILMAN ST, GARDEN CITY, MI 48135-2906
(734) 716-5953
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
08/12/2016
Last updated
08/12/2016
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