Individual
JENNIFER ISBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2055 MAPLECREST DR, CARLETON, MI 48117-9507
(419) 343-4583
Mailing address
2055 MAPLECREST DR, CARLETON, MI 48117-9507
(419) 343-4583
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703114883
MI
Other
Enumeration date
07/20/2015
Last updated
07/20/2015
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