Individual
JUDY BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1515 GREENWOOD AVE, JACKSON, MI 49203-4047
(517) 787-5710
Mailing address
1515 GREENWOOD AVE, JACKSON, MI 49203-4047
(517) 787-5710
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
4704159390
MI
Other
Enumeration date
08/12/2015
Last updated
08/12/2015
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