Most Relevant Information
Provider Data
| NPI Number: | 1003299009 |
| Provider Name: | SARAH DIANE LADD |
| Entity Type: | Individual |
| Taxonomy Code: | 247200000X |
| Specialty: | Technician, Other |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/08/2015 |
| Last Updated: | 07/08/2015 |
Provider Practice Location
324 N PLEASANT ST
JACKSON
MI
492023664
Practice Location Phone/Fax
| Phone: | 7342767181 |
| Fax: |
Provider Mailing Location
324 N PLEASANT ST
JACKSON
MI
492023664
Provider Mailing Phone/Fax
| Phone: | 7342767181 |
| Fax: |