Individual
JESSICA LEAH BARSANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3980 JOHN R, 7-BRUSH N, MB#165, DETROIT, MI 48201
(313) 993-4030
Mailing address
1036 ATTRIDGE RD, CHURCHVILLE, NY 14428-9758
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
DO.OP.61400329
WA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/02/2019
Last updated
04/06/2026
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