Individual
JAIMEE JEAN MIZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3097 PRAIRIE ST SW, GRANDVILLE, MI 49418-2000
(616) 531-9973
Mailing address
5043 NEW ORLEANS DR NE, ROCKFORD, MI 49341-9302
(616) 250-0639
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
4704297300
MI
Other
Enumeration date
10/09/2024
Last updated
10/09/2024
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