Individual
JACQUELINE BRALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
312 NEBOBISH AVE, BAY CITY, MI 48708-5519
(989) 598-6501
Mailing address
312 NEBOBISH AVE, BAY CITY, MI 48708-5519
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703099814
MI
Other
Enumeration date
12/29/2017
Last updated
12/29/2017
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