person
Miss Benita Joshley Jebackumar, DPM
Student in an Organized Health Care Education/Training Program in Detroit, Michigan
NPI 1528819943

Benita Joshley Jebackumar is a Student in an Organized Health Care Education/Training Program based in Detroit, MI. Benita Joshley Jebackumar practices in Detroit, MI and has the professional credentials of DPM. The NPI Number for Benita Joshley Jebackumar is 1528819943 and holds a License No. (Michigan).

The current practice location address for Benita Joshley Jebackumar is 22201 Moross Rd Ste 250, Detroit, MI and can be reached out via phone at 313-343-3423 and via fax at 313-343-3401.

Location: 22201 Moross Rd Ste 250, Detroit, MI, 48236-2175
person
Provider Profile Details
NPI Number
1528819943
Provider Name
Benita Joshley Jebackumar
Credential
DPM
Provider Entity Type
Individual
Gender
Female
Address
22201 Moross Rd Ste 250, Detroit, MI, 48236-2175
Phone Number
313-343-3423
Fax Number
313-343-3401
Provider Enumeration Date
04/01/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
22201 Moross Rd Ste 250
City
State
Zip
48236-2175
Phone Number
313-343-3423
Fax Number
313-343-3401
person
Provider Business Mailing Address Details
Address
22201 Moross Rd Ste 250
City
State
Zip
48236-2175
Phone Number
313-343-3423
Fax Number
313-343-3401
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
(Michigan)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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