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Individual

JIMIA STARR GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHLEBOTOMY

Contact information

Practice address
16129 W MCNICHOLS ROAD, DETROIT, MI 48235-1704
(313) 370-7849
(231) 216-7861
Mailing address
19301 ARDMORE ST, DETROIT, MI 48235-1704
(313) 413-9827
(313) 413-5759

Taxonomy

Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
MI

Other

Enumeration date
12/04/2025
Last updated
04/06/2026
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