Individual
JANA SULLIVAN WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
303 W WATER ST, FLINT, MI 48503-5627
(810) 253-3888
(810) 496-8539
Mailing address
70 LAFAYETTE ST, PONTIAC, MI 48342-2033
(248) 338-7458
(248) 338-7513
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704122633
MI
Other
Enumeration date
10/24/2007
Last updated
10/24/2007
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