Individual
JODI TYRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 CHERRY ST SE, GRAND RAPIDS, MI 49503-4526
(616) 965-8200
Mailing address
16680 QUINCY ST, HOLLAND, MI 49424-5826
(616) 550-0713
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704309090
MI
Other
Enumeration date
11/16/2024
Last updated
11/16/2024
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