Individual provider · NPI-1
Karen Anne Jansen
Homemaker · Farmington Hills, MI
NPI number1366274599
StatusActive
Last updated in NPPESAug 16, 2024
Details
- NPI
- 1366274599
- Entity type
- Individual (NPI-1)
- Name
- Karen Anne Jansen
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 16, 2024
- Certification date
- Aug 16, 2024
- Last updated
- Aug 16, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 376J00000X | Homemaker | – | – | Yes |
Practice location
28800 Bella Vista DrFarmington Hills, MI 48334-2818
Phone 248-224-9176
Mailing address
36 Wellesley DrPleasant Ridge, MI 48069-1240
Phone 248-224-9176
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