Individual
JOLENE MARIE SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15053 BROOKVIEW DR APT 301, RIVERVIEW, MI 48193-2072
(734) 307-8879
Mailing address
15053 BROOKVIEW DR APT 301, RIVERVIEW, MI 48193-2072
(734) 307-8879
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
403103167
MI
Other
Enumeration date
10/09/2014
Last updated
10/09/2014
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