JERRY IDICULLA CHANDY

TRENTON, MI
NPI1023447695
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner Adult Health
(Licence: MI  4704276954)
Enumeration Date2013-11-05
Last Update Date2025-03-07
Business Address
MR. JERRY IDICULLA CHANDY N.P.
1675 KINGSWAY CT STE 1
TRENTON, MI 48183-1958
Phone number: 734-676-8530
Mailing Address
MR. JERRY IDICULLA CHANDY N.P.
1675 KINGSWAY CT STE 1
TRENTON, MI 48183-1958
Phone number: 734-676-8530
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