JENNA MARIE PRIETO

GRAND RAPIDS, MI
NPI1194269860
Former NameJENNA MARIE FREDRICKSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601008048)
Enumeration Date2016-12-14
Last Update Date2022-03-28
Business Address
JENNA MARIE PRIETO
4100 LAKE DR SE STE B01
GRAND RAPIDS, MI 49546-8292
Phone number: 616-267-7400
Mailing Address
JENNA MARIE PRIETO
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503-2560
Phone number:
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