Individual
JORDAN LYNN BELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
798 S WHILTEVILLE RD, MOUNT PLEASANT, MI 48858
(989) 854-1711
Mailing address
798 S WHILTEVILLE RD, MOUNT PLEASANT, MI 48858
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10618100822
—
MI
Enumeration date
01/03/2019
Last updated
01/03/2019
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