Individual
JOSE ANTONIO MORA-SAN ANTONIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6245 INKSTER RD, GARDEN CITY, MI 48135-4001
(734) 458-3300
Mailing address
ISABELA BEACH CT # 562, ISABELA, PR 00662-2418
(787) 872-7095
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
4351054754
MI
Other
Enumeration date
05/06/2025
Last updated
05/06/2025
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