Male or Other

Jay Pulphus

Peer Specialist in Livonia, MI(View on Map)

Full Name

Jay Pulphus

NPI Number

1912352238

NPI Type

Individual Provider

Gender

Male

Enumeration Date

04/25/2016

Specialties

(Taxonomies)

Code

175T00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

37450 SCHOOLCRAFT RD STE 110
37450 SCHOOLCRAFT RD STE 110

City

Livonia
Livonia

State

MI
MI

Postal Code

48150-1000
48150-1000

Country

US
US

Telephone Number

(734) 458-4601
(734) 458-4601

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 04/25/2016

Provider Address

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