Individual
JERMIKA WOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8490 ROSEMONT AVE, DETROIT, MI 48228-3137
(313) 408-9138
Mailing address
8490 ROSEMONT AVE, DETROIT, MI 48228-3137
(313) 408-9138
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703116913
MI
Other
Enumeration date
02/27/2017
Last updated
02/27/2017
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