Organization
MOJICA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRISHA L MOJICA NP (OWNER)
(248) 408-1474
Entity
Organization
Contact information
Practice address
4163 W POINTE DR, WATERFORD, MI 48329-4648
(248) 408-1474
Mailing address
4163 W POINTE DR, WATERFORD, MI 48329-4648
(248) 408-1474
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235743592
—
MI
Enumeration date
09/03/2020
Last updated
03/03/2021
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