Individual
JAMEL ELLSBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
25701 W 12 MILE RD, APT 413, SOUTHFIELD, MI 48034-1822
(313) 671-6234
Mailing address
25701 W 12 MILE RD, APT 413, SOUTHFIELD, MI 48034-1822
(313) 671-6234
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
09/30/2015
Last updated
09/30/2015
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