Individual
JASMINE MCKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4201 SAINT ANTOINE ST, DETROIT, MI 48201-2153
(313) 577-4342
Mailing address
13902 SMOKERISE CT, ORLANDO, FL 32832-5728
(407) 403-8663
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/21/2025
Last updated
04/21/2025
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