Individual
MICHELE MARIE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14750 SHENANDOAH DR, RIVERVIEW, MI 48193-7731
(313) 575-0286
Mailing address
14750 SHENANDOAH DR, RIVERVIEW, MI 48193-7731
(313) 575-0286
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
03/18/2026
Last updated
03/18/2026
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