KEONTAE DAQUAN JARRETT

EAST LANSING, MI
NPI1962051896
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2019-09-04
Last Update Date2019-09-04
Business Address
KEONTAE DAQUAN JARRETT
2775 E LANSING DR
EAST LANSING, MI 48823-7755
Phone number: 517-332-1616
Mailing Address
KEONTAE DAQUAN JARRETT
2775 E LANSING DR
EAST LANSING, MI 48823-7755
Phone number: