Individual
AMBER JAEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
920 DIANA ST, LUDINGTON, MI 49431-1987
(231) 845-6294
(231) 845-7095
Mailing address
920 DIANA ST, LUDINGTON, MI 49431-1987
(231) 845-6294
(231) 845-7095
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
4704312261
MI
Other
Enumeration date
01/22/2016
Last updated
01/22/2016
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