Individual
MARTEZ JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
721 W SAGINAW ST, LANSING, MI 48915-1960
(313) 355-2829
Mailing address
721 W SAGINAW ST, LANSING, MI 48915-1960
(313) 355-2829
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
MI
Other
Enumeration date
12/16/2024
Last updated
12/16/2024
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