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Individual

JAZMINE WILLIAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
19178 HUBBELL, 19178 HUBBELL, DETROIT, MI 48235-1927
(313) 721-3350
Mailing address
19178 HUBBELL ST, DETROIT, MI 48235-1927
(313) 721-3350

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703116982
MI

Other

Enumeration date
09/14/2016
Last updated
09/14/2016
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