Individual
JOTARA DENISE MCCALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
735 RUSTIC DR, SAGINAW, MI 48604-2132
(989) 906-5161
Mailing address
735 RUSTIC DR, SAGINAW, MI 48604-2132
(989) 906-5161
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
AS730418321
MI
Other
Enumeration date
12/10/2024
Last updated
12/10/2024
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