Individual
MRS. KIMBERLY ANN JEWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PROVIDER
Contact information
Practice address
43106 76TH AVENUE, DECATUR, MI 49045
(269) 924-7229
Mailing address
43106 76TH AVENUE DECATUR MI 49045, DECATUR, MI 49045
(269) 924-7229
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AM800016279
MI
Other
Enumeration date
04/15/2025
Last updated
04/15/2025
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