Individual
JASMINE CHANANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ENROLLED IN PHD
Contact information
Practice address
500 E WASHINGTON ST STE 100, ANN ARBOR, MI 48104-2057
(734) 764-3471
Mailing address
7229 WARWICK DR, YPSILANTI, MI 48197-3188
(313) 674-1800
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/31/2022
Last updated
05/31/2022
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