Individual
JIMMIE SANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
4001 W MCNICHOLS RD, DETROIT, MI 48221-3038
(313) 998-1208
Mailing address
4001 W MCNICHOLS RD, DETROIT, MI 48221-3038
(313) 998-1208
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
4704370098
MI
Other
Enumeration date
04/23/2026
Last updated
04/23/2026
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