| Jaquale Rhodes | |
|
349 Jackson Ave Muskegon MI 49442-1114 | |
| (616) 259-2397 | |
| Not Available |
| Full Name | Jaquale Rhodes |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 349 Jackson Ave, Muskegon, Michigan |
| Authorized Official Name and Position | Jaquale Rhodes (INDEPENDENT CONTRACTOR) |
| Authorized Official Contact | 6162592397 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jaquale Rhodes 349 Jackson Ave Muskegon MI 49442-1114 Ph: () - | Jaquale Rhodes 349 Jackson Ave Muskegon MI 49442-1114 Ph: (616) 259-2397 |
| NPI Number | 1457884009 |
|---|---|
| Provider Enumeration Date | 04/10/2017 |
| Last Update Date | 04/10/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457884009 | NPI | - | NPPES |
| 77498 | Other | MI | INDEPENDENT CONTRACTOR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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