Individual
JESSICA WINTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
23131 MICHIGAN AVE # 1200, DEARBORN, MI 48124-2020
(586) 244-7658
Mailing address
23131 MICHIGAN AVE # 1200, DEARBORN, MI 48124-2020
(586) 244-7658
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703125959
MI
Other
Enumeration date
11/05/2024
Last updated
11/05/2024
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