Individual
JENNIE LETANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2940 ELLSWORTH RD, YPSILANTI, MI 48197-7406
(734) 572-5777
Mailing address
2940 ELLSWORTH RD, YPSILANTI, MI 48197-7406
(734) 572-5777
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704339310
MI
Other
Enumeration date
08/20/2021
Last updated
08/20/2021
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