Individual
ANDREW MAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
1200 N WEST AVE, JACKSON, MI 49202-2179
(517) 262-6186
Mailing address
PO BOX 4230, JACKSON, MI 49204-4230
(517) 812-9639
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
5201006259
MI
Other
Enumeration date
04/07/2015
Last updated
04/07/2015
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