Jacob Alex is a student in an organized health care education training program in Southfield, MI. The provider is 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. Jacob Alex NPI is 1669024915. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
22250 PROVIDENCE DR STE 301
SOUTHFIELD, MI
ZIP 48075-211
Phone: (248) 849-4818
The enumeration date for this NPI number is 7/16/2019 and was last updated on 7/16/2019.