Individual
JABAR BUFKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14145 TROESTER ST, DETROIT, MI 48205-3541
(313) 598-8056
Mailing address
14145 TROESTER ST, DETROIT, MI 48205-3541
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
B125355379461
MI
Other
Enumeration date
11/14/2016
Last updated
11/14/2016
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