SearchMichigan164W00000X

Anjulita Shabazz

NPI 1407233794 · on the registry since 2015 · sole proprietor

Practice

Address
17160 Kentucky St
Detroit, MI 48221
Phone
(313) 212-5439

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-05-06

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