Individual
JENNIFER MACDOUGALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
724 S LAKESHORE DR, LAKE CITY, MI 49651-9070
(231) 735-9034
Mailing address
724 S LAKESHORE DR, LAKE CITY, MI 49651-9070
(231) 735-9034
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704293834
MI
Other
Enumeration date
12/02/2013
Last updated
12/02/2013
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