Individual
JOY JELINDA LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9584 COOLEY LAKE RD, WHITE LAKE, MI 48386-3940
(313) 863-4645
Mailing address
9584 COOLEY LAKE RD, WHITE LAKE, MI 48386-3940
(313) 863-4645
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
01/30/2015
Last updated
01/30/2015
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