Search › Michigan › 171M00000X
Randi Jackson, BS
NPI 1437799764 · on the registry since 2020 · sole proprietor
Practice
- Address
- 2925 Russell St
Detroit, MI 48207 - Phone
- (313) 588-6932
- Organisation at this address
- Team Wellness Center
Team Wellness Center
Team Wellness Center
Dundee Family Pharmacy Llc
Saturn Science Integrated HealthInferred from a shared address, not stated in the registry. - Clinicians at this address
- 283
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-01-15
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