Individual
ALEASHA LORAE' JELLISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CERTIFIED TECHNITION
Contact information
Practice address
111 W. HIGHAM ST., UPSTIARS APARTMENT, ST. JOHNS, MI 48879
(989) 307-1203
Mailing address
111 W. HIGHAM ST., UPSTIARS APARTMENT, ST. JOHNS, MI 48879
(989) 307-1203
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
5303025625
MI
Other
Enumeration date
06/18/2021
Last updated
06/18/2021
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