Individual
AZIZA JADALLAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19401 NORTHLINE RD, SOUTHGATE, MI 48195-2277
(734) 785-7700
Mailing address
17266 BUCKEYE LN, BROWNSTOWN, MI 48174-5922
(313) 627-8817
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/28/2023
Last updated
09/13/2023
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