Individual
JEMMA JOY NOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
6309 MACK AVE, DETROIT, MI 48207-2302
(313) 331-3435
Mailing address
105 CHURCH ST, MOUNT CLEMENS, MI 48043-2216
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2902012531
MI
Other
Enumeration date
07/13/2017
Last updated
07/13/2017
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