Individual
MR. JAY ALLEN HORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
16428 TAFT RD, SPRING LAKE, MI 49456-1027
(231) 670-6711
Mailing address
16428 TAFT RD, SPRING LAKE, MI 49456-1027
(231) 670-6711
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L2408846
MI
Other
Enumeration date
09/15/2013
Last updated
09/15/2013
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