NPI 1215696927
Antholyn Floyed-Jackson
Practice location
- Address
- 3111 Grand River Ave, Detroit, MI 48208-2962
- Phone
- (313) 557-8620
- Mailing address
- 17167 Bonstelle Ave, Southfield, MI 48075-3470
Registered specialties
Day Training/Habilitation Specialist
Primary
Registry record
- NPI
- 1215696927
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 9 Dec 2021
- Record last updated
- 9 Dec 2021
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.