Most Relevant Information
Provider Data
| NPI Number: | 1003241233 |
| Provider Name: | JENNIFER S BRYANT |
| Entity Type: | Individual |
| Taxonomy Code: | 247200000X |
| Specialty: | Technician, Other |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/06/2013 |
| Last Updated: | 09/06/2013 |
Provider Practice Location
1570 SUNCREST DR
LAPEER
MI
484461154
Practice Location Phone/Fax
| Phone: | 8106670500 |
| Fax: |
Provider Mailing Location
1570 SUNCREST DR
LAPEER
MI
484461154
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |