Individual
JANA DBAIBOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4201 ST. ANTOINE ST., SUITE 2E, DETROIT, MI 48201
(313) 745-7888
Mailing address
PO BOX 9156, MORGANTOWN, WV 26506-9156
(313) 745-7888
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
30542
WV
Other
Enumeration date
05/22/2018
Last updated
06/19/2024
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