Individual
JANE STANTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30000 HIVELEY, INKSTER, MI 48141
(734) 728-3400
Mailing address
30000 HIVELEY RD, INKSTER, MI 48141
(734) 812-7378
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/21/2016
Last updated
12/21/2016
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