Individual
JIMMIE POTTS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
36744 HARPER AVE APT 305, CLINTON TWP, MI 48035-5877
(158) 622-2431
Mailing address
36744 HARPER AVE APT 305, CLINTON TWP, MI 48035-5877
(586) 222-4312
Taxonomy
Speciality
Code
Description
License number
State
132700000X
Dietary Manager
Primary
—
—
Other
Enumeration date
04/08/2024
Last updated
04/08/2024
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