JACK SCODIUS

EAST LANSING, MI
NPI1801498175
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2020-11-12
Last Update Date2020-11-12
Business Address
JACK SCODIUS
771 CHESTNUT RD
EAST LANSING, MI 48824-3434
Phone number: 517-353-4412
Mailing Address
JACK SCODIUS
912 N BURNING BUSH LN
MOUNT PROSPECT, IL 60056-1802
Phone number: