Individual provider · NPI-1

Jovon Marquis Basey I

Technician/Technologist · Lansing, MI

NPI number1346925112
StatusActive
Last updated in NPPESJun 20, 2023

Details

NPI
1346925112
Entity type
Individual (NPI-1)
Name
Jovon Marquis Basey I
Sex
Male
Sole proprietor
No
Enumeration date
Jun 20, 2023
Certification date
Jun 20, 2023
Last updated
Jun 20, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
156F00000X Technician/Technologist––Yes

Practice location

405 W Greenlawn Ave Ste 200
Lansing, MI 48910-2889

Phone 517-657-2638

Mailing address

405 W Greenlawn Ave Ste 200
Lansing, MI 48910-2889

Phone 517-657-2638

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