Individual
MARY JANE CLEVIDENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
147 BATES ST, JACKSON, MI 49202-3601
(330) 607-2685
Mailing address
147 BATES ST, JACKSON, MI 49202-3601
(330) 607-2685
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
03/08/2022
Last updated
03/08/2022
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