Individual
MRS. JESSICA DESLOOVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
14100 NEWBURGH RD, LIVONIA, MI 48154-5010
(888) 464-2341
Mailing address
14100 NEWBURGH RD, LIVONIA, MI 48154-5010
(888) 464-2341
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
4704301395
MI
Other
Enumeration date
05/01/2020
Last updated
04/12/2023
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