Individual
MS. JAMILIA GUPTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21751 W 11 MILE RD STE 105, SOUTHFIELD, MI 48076-3779
(248) 327-6099
Mailing address
21751 W 11 MILE RD STE 105, SOUTHFIELD, MI 48076-3779
(248) 327-6099
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
02/14/2023
Last updated
02/14/2023
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