Individual
JACQUELYNN JOANNE BRADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1145 WESLEY AVE, MUSKEGON, MI 49442-2100
(231) 260-1931
Mailing address
1145 WESLEY AVE BLDG A, MUSKEGON, MI 49442-2100
(231) 260-1931
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
05/18/2023
Last updated
05/18/2023
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