Individual
SAMMIE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
19474 MONICA ST, DETROIT, MI 48221-1724
(313) 478-8731
Mailing address
19474 MONICA ST, DETROIT, MI 48221-1724
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703113016
MI
Other
Enumeration date
08/20/2014
Last updated
08/20/2014
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