SearchMichigan176B00000X

Cynthia Jackson, LM, CPM

NPI 1225650757 · on the registry since 2020 · sole proprietor

Practice

Address
20551 Motor Dr Apt A4
Detroit, MI 48235
Phone
(313) 971-7324
Fax
(586) 777-5874

Registry record

Primary taxonomy
176B00000X
176B00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-05-06

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