JACQUELYN LAUREN EDWARDS

DETROIT, MI
NPI1306250634
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601006985)
Enumeration Date2014-06-14
Last Update Date2024-09-19
Business Address
Ms. JACQUELYN LAUREN EDWARDS
2799 W GRAND BLVD
DETROIT, MI 48202-2608
Phone number: 800-436-7936
Mailing Address
Ms. JACQUELYN LAUREN EDWARDS
2799 W GRAND BLVD
DETROIT, MI 48202-2689
Phone number: 800-678-1861