Individual
JASON OLIVER PRESTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11094 WHITHORN ST, DETROIT, MI 48205-4829
(313) 918-4794
Mailing address
11094 WHITHORN ST, DETROIT, MI 48205-4829
(313) 918-4794
Taxonomy
Speciality
Code
Description
License number
State
175L00000X
Homeopath
Primary
272833426
MI
Other
Enumeration date
09/30/2010
Last updated
09/30/2010
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