Individual
JACLYN LEE HUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2111 S SHORE DR SE APT 102, KENTWOOD, MI 49508-0907
(734) 788-3183
Mailing address
2111 S SHORE DR SE APT 102, KENTWOOD, MI 49508-0907
(734) 788-3183
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703115744
MI
Other
Enumeration date
03/18/2019
Last updated
03/18/2019
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