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: |