Search › Michigan › 164W00000X
Candace Jefferson
NPI 1992158620 · on the registry since 2016
Practice
- Address
- 14046 Stahelin Ave
Detroit, MI 48223 - Phone
- (313) 704-5431
- Clinicians at this address
- 2
Additional practice sites
- 44984 Saltz Rd, Canton, MI
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
- 2022-03-07
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