Individual
JAZZMA JACQUILINE GIBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9186 PINEHURST ST, DETROIT, MI 48204-2656
(313) 978-6624
Mailing address
9186 PINEHURST ST, DETROIT, MI 48204-2656
(313) 978-6624
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/02/2021
Last updated
11/02/2021
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