Individual
ALISON MARIE JENEROU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1124 S STATE ST, BIG RAPIDS, MI 49307-2256
(231) 391-2173
Mailing address
20130 ORCHARD LN, HOWARD CITY, MI 49329-8947
(231) 350-0750
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004650
MI
Other
Enumeration date
08/03/2011
Last updated
08/03/2011
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