Individual
JAYNE E HOLTON PATTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5557 CASS AVE, DETROIT, MI 48202-3615
(313) 673-4906
Mailing address
5557 CASS AVE, DETROIT, MI 48202-3615
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/29/2022
Last updated
06/29/2022
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