Individual
JAMAAL EDWARD CANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4203 18TH ST, DETROIT, MI 48208-2515
(586) 339-7110
Mailing address
3026 MARLBOROUGH ST, DETROIT, MI 48215-2536
(586) 339-7110
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
MI
Other
Enumeration date
04/25/2024
Last updated
04/25/2024
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