JODI IACCO

DETROIT, MI
NPI1801162532
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: MI  5601006048)
Enumeration Date2012-03-27
Last Update Date2012-03-27
Business Address
-- JODI IACCO
22201 MOROSS RD PROFESSIONAL BUILDING 1 SUITE 132
DETROIT, MI 48236-2169
Phone number: 313-343-3360
Mailing Address
-- JODI IACCO
22201 MOROSS RD PROFESSIONAL BUILDING 1 SUITE 132
DETROIT, MI 48236-2169
Phone number:
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