Individual
JASON WRIGHTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3040 FRUIT ST, CLAY, MI 48001-4802
(810) 543-5596
Mailing address
3040 FRUIT ST, CLAY, MI 48001-4802
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703113267
MI
Other
Enumeration date
10/24/2023
Last updated
10/24/2023
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