Individual
JENNIFER BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3013 WILLOWAY RD, JACKSON, MI 49201-9333
(517) 206-6629
Mailing address
3013 WILLOWAY RD, JACKSON, MI 49201-9333
(517) 206-6629
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
7167289
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7167289
—
MI
Enumeration date
07/24/2015
Last updated
07/24/2015
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