Most Relevant Information
Provider Data
| NPI Number: | 1003329780 |
| Provider Name: | DEON MIKAL JEWELL |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/16/2017 |
| Last Updated: | 11/16/2017 |
Provider Practice Location
223 KALAMAZOO ST
EAST LANSING
MI
488245400
Practice Location Phone/Fax
| Phone: | 5173551627 |
| Fax: |
Provider Mailing Location
223 KALAMAZOO ST
EAST LANSING
MI
488245400
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |