Search › Michigan › 374U00000X
Jaylen Parks
NPI 1588473417 · on the registry since 2025
Practice
- Address
- 11340 Portlance St
Detroit, MI 48205 - Phone
- (313) 412-6703
Registry record
- Primary taxonomy
- 374U00000X
374U00000X
- Sex
- Male
- Record last updated
- 2025-01-06
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