Individual
JAQUAN DEVONN THURMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8643 GREENVIEW AVE, DETROIT, MI 48228-3149
(734) 338-5871
Mailing address
44526 BAYVIEW AVE APT 14212, CLINTON TOWNSHIP, MI 48038-7066
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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