Individual
NICHOLE MAZEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
7646 20TH AVE, JENISON, MI 49428-8524
(616) 457-9900
Mailing address
7646 20TH AVE, JENISON, MI 49428-8524
(616) 457-9900
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301010761
MI
Other
Enumeration date
01/22/2019
Last updated
01/22/2019
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