Individual
JASMINE JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
22222 TIREMAN, REDFORD, MI 48239-1035
(734) 890-7057
Mailing address
22222 TIREMAN, REDFORD, MI 48239-1035
(734) 890-7057
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703120871
MI
Other
Enumeration date
09/13/2019
Last updated
09/13/2019
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