Individual
JODIE ANN BRIGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1380 E MAIN ST, EDMORE, MI 48829-8413
(989) 560-9733
Mailing address
11590 LAKESHORE DR, LAKEVIEW, MI 48850-9708
(989) 560-9733
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
AM590407641
MI
Other
Enumeration date
04/18/2023
Last updated
04/18/2023
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