Individual
JIHAN TOOTLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3990 JOHN R ST, DETROIT, MI 48201-2097
(313) 745-8040
Mailing address
5935 HUMMINGBIRD LN, CLARKSTON, MI 48346-2934
(248) 470-2971
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
4704280195
MI
363LA2100X
Acute Care Nurse Practitioner
Primary
4704280195
MI
Other
Enumeration date
04/08/2025
Last updated
06/04/2025
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