Individual
JOVAN SUENGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
2566 E GRAND BLVD APT 206, DETROIT, MI 48211-2023
(720) 903-5335
Mailing address
2566 E GRAND BLVD APT 206, DETROIT, MI 48211-2023
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703132136
MI
Other
Enumeration date
07/09/2025
Last updated
07/09/2025
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