Individual
JESSICA VETTRAINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
96 BARRINGTON RD, BLOOMFIELD HILLS, MI 48302-0600
(248) 770-4417
Mailing address
96 BARRINGTON RD, BLOOMFIELD HILLS, MI 48302-0600
(248) 770-4417
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
4704281372
MI
363LP2300X
Primary Care Nurse Practitioner
Primary
4704281372
MI
Other
Enumeration date
08/19/2016
Last updated
08/19/2016
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