Individual
JILL MAILING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CLC
Contact information
Practice address
701 E UNIVERSITY AVE, ANN ARBOR, MI 48109
(248) 214-1531
Mailing address
2601 JACKSON AVE # 1072, ANN ARBOR, MI 48103-3820
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
322658
MI
Other
Enumeration date
04/15/2022
Last updated
04/15/2022
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