Individual
MAIA RENEE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
19A GREENWOODE LN, PONTIAC, MI 48340-2260
(313) 454-6884
Mailing address
20312 MANSFIELD ST, DETROIT, MI 48235-2153
(313) 454-6884
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703123025
MI
Other
Enumeration date
10/24/2022
Last updated
10/24/2022
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