JACOB RUSSELL BRYDE

EAST LANSING, MI
NPI1821836024
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LG0600X Nurse Practitioner Gerontology
(Licence: MI  4704335991)
Enumeration Date2024-07-20
Last Update Date2024-07-20
Business Address
JACOB RUSSELL BRYDE DNP, AGPCNP-BC
804 SERVICE RD
EAST LANSING, MI 48824-7015
Phone number: 517-353-2562
Mailing Address
JACOB RUSSELL BRYDE DNP, AGPCNP-BC
1600 ONONDAGA RD
HOLT, MI 48842-9645
Phone number:
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