Individual
JANNELLE NASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1455 S LAPEER RD STE 100, LAKE ORION, MI 48360-1468
(248) 693-3551
Mailing address
1455 S LAPEER RD STE 100, LAKE ORION, MI 48360-1468
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601007271
MI
Other
Enumeration date
01/26/2015
Last updated
01/26/2015
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