Most Relevant Information
Provider Data
| NPI Number: | 1003547423 |
| Provider Name: | JEZREEL ANNAH BABCOCK |
| Entity Type: | Individual |
| Taxonomy Code: | 261QM0801X |
| Specialty: | Clinic/Center |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/17/2022 |
| Last Updated: | 06/17/2022 |
Provider Practice Location
4473 220TH AVE
REED CITY
MI
496778593
Practice Location Phone/Fax
| Phone: | 2538441023 |
| Fax: |
Provider Mailing Location
771 S CHESTNUT ST APT B
REED CITY
MI
496771305
Provider Mailing Phone/Fax
| Phone: | 2538441023 |
| Fax: |