Individual
JAMILAH RACINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1521 GULL RD, KALAMAZOO, MI 49048-1640
(269) 226-7000
Mailing address
5812 E F AVE, KALAMAZOO, MI 49004-8671
(269) 720-0235
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601007435
MI
Other
Enumeration date
09/16/2015
Last updated
03/29/2017
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