Individual
JASMINE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4875 COPLIN ST, DETROIT, MI 48215-2192
(313) 822-1135
Mailing address
60 W HANCOCK ST, DETROIT, MI 48201-1343
(586) 863-8599
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/10/2019
Last updated
09/10/2019
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