Individual
MR. JACOB LOVELESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8216 M.5 RD, GLADSTONE, MI 49837-9078
(906) 399-9928
Mailing address
8216 M.5 RD, GLADSTONE, MI 49837-9078
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MI
Other
Enumeration date
03/30/2016
Last updated
03/30/2016
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