Individual
JEAN MAYNARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2718 GEERT CT, LANSING, MI 48910-3747
(571) 507-0326
Mailing address
2718 GEERT CT, LANSING, MI 48910-3747
(571) 507-0326
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
04/27/2010
Last updated
04/27/2010
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