Most Relevant Information
Provider Data
| NPI Number: | 1003535287 |
| Provider Name: | MALARY JEAN THORSBY |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: | 1700901964 |
Most Important Dates
| Enumeration Date: | 08/23/2022 |
| Last Updated: | 08/23/2022 |
Provider Practice Location
1717 N HIGH ST
LANSING
MI
489064597
Practice Location Phone/Fax
| Phone: | 5173724700 |
| Fax: |
Provider Mailing Location
1717 N HIGH ST
LANSING
MI
489064597
Provider Mailing Phone/Fax
| Phone: | 5173724700 |
| Fax: |