Individual
JO ELLEN RODE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1547 DOUG ST, JENISON, MI 49428-8109
(616) 821-7374
Mailing address
1547 DOUG ST, JENISON, MI 49428-8109
(616) 821-7374
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
05/02/2024
Last updated
05/02/2024
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