Individual
MELISSA JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17197 N LAUREL PARK DR, LIVONIA, MI 48152-2680
(734) 779-9732
Mailing address
17197 N LAUREL PARK DR, LIVONIA, MI 48152-2680
(734) 779-9732
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704186740
MI
Other
Enumeration date
08/25/2015
Last updated
08/25/2015
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