Individual
JEWEL LYNNISE HALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7375 WOODWARD AVE STE 2800, DETROIT, MI 48202-3157
(313) 406-5056
Mailing address
19853 OUTER DR UNIT 10, DEARBORN, MI 48124-2066
(313) 406-5056
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
—
Other
Enumeration date
10/07/2021
Last updated
04/03/2023
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