Search › Michigan › 363LA2100X
Jazmine Randolph
NPI 1487355087 · on the registry since 2023
Practice
- Address
- 9608 Pinehurst St
Detroit, MI 48204 - Phone
- (313) 421-9771
Registry record
- Primary taxonomy
- 363LA2100X
363LA2100X
- Also registered as
- 363LG0600X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-03-13
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