Individual
LA'SHEA FRANCENE JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
22170 W 9 MILE RD, SOUTHFIELD, MI 48033-6007
(248) 535-9986
Mailing address
17320 W 13 MILE RD, BEVERLY HILLS, MI 48025-5438
(313) 721-4982
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704374163
MI
Other
Enumeration date
06/18/2021
Last updated
06/18/2021
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