Individual
JUSTIN ROBERT KHALASAWI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PRC
Contact information
Practice address
529 MARTIN LUTHER KING BLVD, FLINT, MI 48502-2002
(810) 238-7226
Mailing address
529 MARTIN LUTHER KING BLVD, FLINT, MI 48502-2002
(810) 238-7226
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
02/26/2024
Last updated
02/26/2024
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