NPI 1205516325

Jaquan Devonn Thurman

Practitioner Adult Companion Detroit, MI

Practice location

Address: 8643 Greenview Ave, Detroit, MI 48228-3149
Phone: (734) 338-5871
Mailing address: 44526 Bayview Ave APT 14212, Clinton Township, MI 48038-7066

Registered specialties

Adult Companion Primary

Nursing Service Related Providers Taxonomy 372600000X

Other Adult Companion providers in Michigan →

Registry record

NPI: 1205516325
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Jul 2023
Record last updated: 24 Jul 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.