Individual
JODI MARIE WAYBRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
799 HOMBACH ST, SAINT IGNACE, MI 49781-1735
(248) 633-4565
Mailing address
799 HOMBACH ST, SAINT IGNACE, MI 49781-1735
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704376333
MI
Other
Enumeration date
10/02/2023
Last updated
04/17/2024
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