Organization
JOHN-ANGELLA-REGINA PRIMARY CARE AND WELLNESS
Active
Other names
JAR Primary Care and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN WESTLEY MAILEY NP (OWNER)
(313) 310-6761
Entity
Organization
Contact information
Practice address
27645 ALBERT ST, NOVI, MI 48374-1012
(313) 310-6761
Mailing address
27645 ALBERT ST, NOVI, MI 48374-1012
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
—
Other
Enumeration date
05/09/2024
Last updated
05/09/2024
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