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Individual

SHAYLA JARRETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4575 HUNTERS RIDGE DR SE APT 12, KENTWOOD, MI 49512-8401
(616) 617-4577
Mailing address
4575 HUNTERS RIDGE DR SE APT 12, KENTWOOD, MI 49512-8401
(616) 617-4577

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
J630765765858
MI
Enumeration date
06/23/2022
Last updated
06/23/2022
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