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Jacquelyn Elyoussef
NPI 1558811331 · on the registry since 2016
Practice
- Address
- 3930 Academy St
Dearborn Heights, MI 48125 - Phone
- (313) 804-1888
Registry record
- Primary taxonomy
- 247200000X
247200000X
- Also registered as
- 106S00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-07-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan