Marie Jerome

NPI #1083160113 in Vestaburg, Michigan

Provider Information

NPI Number: 1083160113
Entity Type: Individual
Name: Marie Jerome
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Aug 29, 2016
Last Updated: Aug 29, 2016

Practice Location

Address: 1879 N CRYSTAL RD
City: Vestaburg
State: Michigan
ZIP Code: 48891-8712
Phone: (616) 835-2723

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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