Jamie Ann Fagerlie

NPI #1174388367 in Houghton Lake, Michigan

Provider Information

NPI Number: 1174388367
Entity Type: Individual
Name: Jamie Ann Fagerlie
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Community Health Worker
Enumeration Date: Feb 16, 2024
Last Updated: Feb 16, 2024

Practice Location

Address: 9249 W LAKE CITY RD
City: Houghton Lake
State: Michigan
ZIP Code: 48629-9602
Phone: (198) 939-0508

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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