Most Relevant Information
Provider Data
| NPI Number: | 1003203928 |
| Provider Name: | BRENDA JONES |
| Entity Type: | Individual |
| Taxonomy Code: | 247200000X |
| Specialty: | Technician, Other |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/17/2015 |
| Last Updated: | 04/17/2015 |
Provider Practice Location
15751 FORRER ST
DETROIT
MI
482272332
Practice Location Phone/Fax
| Phone: | 3138370129 |
| Fax: |
Provider Mailing Location
15751 FORRER ST
DETROIT
MI
482272332
Provider Mailing Phone/Fax
| Phone: | 3138370129 |
| Fax: |