Organization
SEASONS OF CHANGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TESSY C JENKINS MD (OWNER)
(248) 208-9215
Entity
Organization
Contact information
Practice address
27200 LAHSER RD STE 102, SOUTHFIELD, MI 48034-2137
(248) 208-9215
(248) 208-9217
Mailing address
27200 LAHSER RD STE 102, SOUTHFIELD, MI 48034-2137
(248) 208-9215
(248) 208-9217
Taxonomy
Speciality
Code
Description
License number
State
163WI0500X
Infusion Therapy Registered Nurse
Primary
—
—
Other
Enumeration date
08/23/2023
Last updated
08/23/2023
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