JODI LYNNE DEJAEGHERE
Individual Provider (NPI-1)
Active
Pharmacy Technician
Provider Information
- NPI Number
1558931048- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 36485 GARFIELD RD, CLINTON TOWNSHIP, MI, 480351132
- Phone
- (586) 791-0738
- Fax
- (586) 791-3240
Specialties & Taxonomies
Pharmacy Technician
Primary License: MI #5303008702