Individual
JAYSHRI BALAJI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA,
Contact information
Practice address
43000 W 9 MILE RD STE 109, NOVI, MI 48375-4180
(248) 660-9164
Mailing address
40977 SCARBOROUGH LN, NOVI, MI 48375-5701
(248) 231-9975
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401009306
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0733595107
LIABILITY INSURANCE
—
Enumeration date
08/31/2005
Last updated
01/25/2023
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