Individual
DR. JESSIE L POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
6231 N CANTON CENTER RD STE 109, CANTON, MI 48187-2692
(734) 455-6767
Mailing address
9955 TIMOTHY LN, SOUTH LYON, MI 48178-9389
(248) 224-0374
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301010731
MI
Other
Enumeration date
01/03/2019
Last updated
01/03/2019
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