Individual
MS. JESSICA JOANN RENFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1040 S WINTER ST, SUITE 1022, ADRIAN, MI 49221-3876
(517) 263-8905
Mailing address
17421 MANITOU RD, ADDISON, MI 49220-8700
(517) 260-0259
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
R516403421947
MI
Other
Enumeration date
08/30/2016
Last updated
08/30/2016
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