Individual
ROSE JOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3076 STRATFORD LN, FLUSHING, MI 48433-3712
(810) 308-0937
Mailing address
3076 STRATFORD LN, FLUSHING, MI 48433-3712
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703101703
MI
Other
Enumeration date
01/09/2025
Last updated
01/09/2025
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