Individual
JASMINE LENA HORNBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
1428 WAVERLY AVE, GRAND HAVEN, MI 49417-2392
(616) 846-3860
Mailing address
1428 WAVERLY AVE, GRAND HAVEN, MI 49417-2392
(616) 846-3860
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301009795
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0C30350
BCBSM PIN
MI
Enumeration date
03/04/2011
Last updated
01/03/2012
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