Jacqueline Christianson

NPI 1538706361 · on the registry since 2019 · sole proprietor

Practice

Address: 5990 Sashabaw Rd
Clarkston, MI 48346
Phone: (248) 922-3704
Fax: (248) 922-3715
Organisation at this address: Kroger Co Of Michigan
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

Registry record

Primary taxonomy: 1835P0018X
1835P0018X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2019-11-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan