DR. Jorge A Prada, CNS

NPI #1588089684 in Clarkston, Michigan

Provider Information

NPI Number: 1588089684
Entity Type: Individual
Name: DR. Jorge A Prada, CNS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dietary Manager
Credential: CNS
Enumeration Date: Feb 26, 2014
Last Updated: Feb 26, 2014

Practice Location

Address: 5885 S MAIN ST
Address 2: SUITE 6B
City: Clarkston
State: Michigan
ZIP Code: 48346-2981
Phone: (248) 707-6367

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietary Manager	132700000X	Primary

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