Individual
JASON MCCREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3521 LINCOLN ST, DEARBORN, MI 48124-3509
(248) 291-4281
Mailing address
3521 LINCOLN ST, DEARBORN, MI 48124-3509
(248) 291-4281
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
133VN1004X
Pediatric Nutrition Registered Dietitian
—
MI
163WP0200X
Pediatric Registered Nurse
Primary
4704180803
MI
Other
Enumeration date
06/22/2016
Last updated
06/22/2016
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