Individual
MASANGAY JABATEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3325 S CREEK DR SE APT 301, KENTWOOD, MI 49512-8365
(616) 337-4500
Mailing address
3325 S CREEK DR SE APT 301, KENTWOOD, MI 49512-8365
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703129297
MI
Other
Enumeration date
07/25/2025
Last updated
07/25/2025
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