Individual
JAYLA THORNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
32304 KELLY BLVD, ROCKWOOD, MI 48173-8633
(313) 551-1995
Mailing address
32304 KELLY BLVD, ROCKWOOD, MI 48173-8633
(313) 551-1995
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
08/19/2016
Last updated
08/19/2016
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