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Jennifer Iannuccilli
NPI 1790524635 · on the registry since 2024 · sole proprietor
Practice
- Address
- 5775 Old Channel Trl
Montague, MI 49437 - Phone
- (231) 740-7497
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-05-21
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