Individual
HOLLYANNE YAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
805 S THOMPSON ST, JACKSON, MI 49203-1565
(517) 315-8295
Mailing address
805 S THOMPSON ST, JACKSON, MI 49203-1565
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703130088
MI
Other
Enumeration date
10/08/2024
Last updated
10/08/2024
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