Individual
JAYNE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19350 BARLOW ST, DETROIT, MI 48205-2165
(313) 523-8870
Mailing address
19350 BARLOW ST, DETROIT, MI 48205-2165
(313) 523-8870
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
08/09/2023
Last updated
08/09/2023
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