Individual
JASMINE JENENE WALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20056 WESTPHALIA ST, DETROIT, MI 48205-1149
(313) 900-2837
Mailing address
20056 WESTPHALIA ST, DETROIT, MI 48205-1149
(313) 900-2837
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
06/09/2023
Last updated
06/09/2023
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