JACKIE LEA MAIVILLE

WYOMING, MI
NPI1265925390
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: MI  4703029307)
Enumeration Date2018-06-13
Last Update Date2018-07-26
Business Address
Mrs. JACKIE LEA MAIVILLE LPN
1853 R W BERENDS DR SW
WYOMING, MI 49519
Phone number: 616-534-9300
Mailing Address
Mrs. JACKIE LEA MAIVILLE LPN
1853 R. W. BERENDS DR SW
WYOMING, MI 49519-4955
Phone number: 616-534-9300
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