Individual
LA TOYA JEMISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1675 LEAHY ST STE 210B, MUSKEGON, MI 49442-5542
(231) 672-3334
(231) 672-3319
Mailing address
1675 LEAHY ST STE 210B, MUSKEGON, MI 49442-5542
(231) 672-3334
(231) 672-3319
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
05/04/2015
Last updated
12/14/2023
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