Individual
JESSICA LYNN JARRARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
505 E ALCOTT ST, KALAMAZOO, MI 49001
(269) 349-2641
Mailing address
1723 42ND ST, ALLEGAN, MI 49010-9424
(269) 910-0050
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2902018251
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2902018251
—
MI
Enumeration date
06/28/2017
Last updated
06/28/2017
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