Individual
MS. JESSICA MARIE TACCONELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6330 ORCHARD LAKE RD., SUITE 120, WEST BLOOMFIELD, MI 48322
(248) 855-3366
(248) 855-6213
Mailing address
6330 ORCHARD LAKE RD., SUITE 120, WEST BLOOMFIELD, MI 48322-6330
(248) 855-3366
(248) 855-6213
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601006221
MI
Other
Enumeration date
12/28/2011
Last updated
12/28/2011
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