Individual
MRS. KATELYN ANNE JURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
1339 E GRAND RIVER AVE, PORTLAND, MI 48875-1629
(517) 647-4704
(517) 647-6896
Mailing address
447 VESSEY ST, PORTLAND, MI 48875-1564
(517) 604-0134
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
5303033293
MI
Other
Enumeration date
06/03/2021
Last updated
06/03/2021
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