Individual
JEWEL IRLENE WALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
707 W MILWAUKEE ST, DETROIT, MI 48202-2943
(313) 344-9099
Mailing address
13548 MCDOUGALL ST, HAMTRAMCK, MI 48212-1662
(313) 627-5824
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
MI
Other
Enumeration date
02/22/2023
Last updated
02/22/2023
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