Individual
JENNA SALVATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2111 12 MILE RD NW, SPARTA, MI 49345-9754
(616) 391-8470
Mailing address
100 MICHIGAN STREET NE MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601007223
MI
Other
Enumeration date
10/15/2014
Last updated
02/24/2021
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