SearchMichigan374U00000X

Jamal Rivers

NPI 1225411416 · on the registry since 2015 · sole proprietor

Practice

Address
8872 Prevost St
Detroit, MI 48228
Phone
(248) 633-5284
Fax
(313) 740-7790

Registry record

Primary taxonomy
374U00000X
374U00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-07-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan