Individual
JACLYN ANNE CIBASEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-2545
(313) 916-2018
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
(313) 874-4803
(313) 876-1305
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704311590
MI
Other
Enumeration date
08/30/2022
Last updated
09/19/2025
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