Individual
JASMIN MARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19000 ST JOES PKWY STE 140, LIVONIA, MI 48152-1477
(734) 213-3688
Mailing address
6666 TORYBROOKE CIR, WEST BLOOMFIELD, MI 48323-2158
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
4704382277
MI
Other
Enumeration date
09/23/2025
Last updated
09/23/2025
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