NPI Lookup
NPPES Search
Providers by State
Blog
Home
1588089684
JORGE A PRADA
CLARKSTON, MI
NPI
1588089684
Copy
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
132700000X Dietary Manager
(Licence: IL 12017)
Enumeration Date
2014-02-26
Last Update Date
2014-02-26
Business Address
Dr. JORGE A PRADA CNS
5885 S MAIN ST SUITE 6B
CLARKSTON, MI 48346-2981
Phone number: 248-707-6367
Copy
Mailing Address
Dr. JORGE A PRADA CNS
5885 S MAIN ST SUITE 6B
CLARKSTON, MI 48346-2981
Phone number: 248-707-6367
Copy