NPI 1043589641
Jevona N Maniex, EFDAEFODAMBA
Practice location
- Address
- 27351 Dequindre Rd, Madison Heights, MI 48071-3487
- Phone
- (586) 753-1323
Registered specialties
Dental Assistant
Primary
Registry record
- NPI
- 1043589641
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 28 Dec 2011
- Record last updated
- 30 Jan 2014
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.