Individual
JERRICA ATIYEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
44200 WOODWARD AVE STE 101, PONTIAC, MI 48341-5046
(248) 212-0678
(248) 212-0790
Mailing address
44200 WOODWARD AVE STE 101, PONTIAC, MI 48341-5046
(248) 212-0678
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601010168
MI
Other
Enumeration date
09/11/2020
Last updated
08/14/2025
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