JEROME EDWIN MONTGOMERY

WAYNE, MI
NPI1134852403
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
(Licence: MI  6802089266)
Enumeration Date2022-07-05
Last Update Date2022-07-05
Business Address
Mr. JEROME EDWIN MONTGOMERY
35425 W MICHIGAN AVE
WAYNE, MI 48184-9800
Phone number: 734-725-8719
Mailing Address
Mr. JEROME EDWIN MONTGOMERY
35425 W MICHIGAN AVE
WAYNE, MI 48184-9800
Phone number:
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