Individual
JAIME MARIE TITUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
650 GRISWOLD ST, NORTHVILLE, MI 48167-1666
(248) 912-0080
Mailing address
38736 HARTWELL DR, STERLING HEIGHTS, MI 48312-1327
(586) 854-0880
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601010578
MI
Other
Enumeration date
06/05/2021
Last updated
06/05/2021
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