Individual
MRS. JENNIFER JEAN CHOWANIEC GORMLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
5385 SWALLOW AVE, KALAMAZOO, MI 49009-4501
(269) 372-2265
Mailing address
5385 SWALLOW AVE, KALAMAZOO, MI 49009-4501
(269) 372-2265
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
01/22/2007
Last updated
07/08/2007
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