Individual provider · NPI-1

Jamal Abdellateef, RN

Registered Nurse, Psych/Mental Health, Adult · Detroit, MI

NPI number1811624349
StatusActive
Last updated in NPPESAug 4, 2022

Details

NPI
1811624349
Entity type
Individual (NPI-1)
Name
Jamal Abdellateef
Credential
RN
Sex
Male
Sole proprietor
No
Enumeration date
Aug 4, 2022
Certification date
Aug 4, 2022
Last updated
Aug 4, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WP0809X Registered Nurse, Psych/Mental Health, Adult4704317336MIYes

Practice location

4646 John R St
Detroit, MI 48201-1916

Phone 313-576-1000

Mailing address

4646 John R St
Detroit, MI 48201-1916

Phone 313-576-1000

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