Individual
ANDREA OSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6431 JORDAN RD, JACKSON, MI 49201-9582
(517) 499-5576
Mailing address
6431 JORDAN RD, JACKSON, MI 49201-9582
(517) 499-5576
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
08/10/2011
Last updated
08/10/2011
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