Individual
DR. JORGE A PRADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNS
Contact information
Practice address
5885 S MAIN ST, SUITE 6B, CLARKSTON, MI 48346-2981
(248) 707-6367
(248) 707-6233
Mailing address
5885 S MAIN ST, SUITE 6B, CLARKSTON, MI 48346-2981
(248) 707-6367
(248) 707-6233
Taxonomy
Speciality
Code
Description
License number
State
132700000X
Dietary Manager
Primary
12017
IL
Other
Enumeration date
02/26/2014
Last updated
02/26/2014
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