Individual
JODEE ANN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
121 W PRAIRIE ST, VICKSBURG, MI 49097-1258
(269) 649-0660
(269) 649-4755
Mailing address
7005 E W AVE, VICKSBURG, MI 49097-9506
(269) 649-1474
(269) 649-4755
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
260101030756352
MI
Other
Enumeration date
06/30/2006
Last updated
07/08/2007
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