Individual
JANIS MAZZOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3601 W. 13 MILE RD, ROYAL OAK, MI 48073-6769
(248) 423-2481
Mailing address
3601 W. 13 MILE RD, 400 FSC, ROYAL OAK, MI 48073-6769
(248) 423-2481
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704159474
MI
Other
Enumeration date
09/07/2007
Last updated
09/07/2007
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