Individual
MRS. HOLLY JENSKI VIACHES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
205 N EAST AVE, JACKSON, MI 49201-1753
(517) 205-4702
Mailing address
324 LOCKWOOD ST, JACKSON, MI 49203-2227
(517) 206-0901
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201008791
MI
Other
Enumeration date
08/12/2020
Last updated
08/12/2020
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