Individual
JIGGER OCCENA GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
50 N PERRY ST, FADI SALLOUM, MD, PC, PONTIAC, MI 48342-2217
(248) 338-5516
(248) 338-5547
Mailing address
32050 SHADYWOOD DR, CHESTERFIELD, MI 48047-4575
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704277212
MI
Other
Enumeration date
10/17/2016
Last updated
10/27/2016
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