Individual
LAURA JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 KUSTERER DR NW, WALKER, MI 49534-3609
(281) 785-6957
Mailing address
1111 KUSTERER DR NW, WALKER, MI 49534-3609
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703091291
MI
Other
Enumeration date
06/26/2019
Last updated
06/26/2019
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