Individual
OTIS KEITH JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
650 CHURCH ST, PLYMOUTH, MI 48170-1689
(833) 222-4273
Mailing address
650 CHURCH ST, PLYMOUTH, MI 48170-1689
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
—
Other
Enumeration date
02/12/2018
Last updated
02/12/2018
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