Individual
JACITA GREVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24261 GREENFIELD RD, SOUTHFIELD, MI 48075-3117
(248) 569-9520
Mailing address
24261 GREENFIELD RD, SOUTHFIELD, MI 48075-3117
(248) 569-9520
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704220559
MI
Other
Enumeration date
10/12/2016
Last updated
10/12/2016
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