Individual
JAANNA DESIREE CARMILLA GLENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8954 SAINT MARYS ST, DETROIT, MI 48228-2048
(313) 810-4291
Mailing address
8954 SAINT MARYS ST, DETROIT, MI 48228-2048
(313) 810-4291
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
MI
Other
Enumeration date
10/10/2025
Last updated
10/10/2025
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