Yassa Pac LLC
NPI #1962016360 in Hazel Park, Michigan
Provider Information
- NPI Number
- 1962016360
- Entity Type
- Organization
- Organization Name
- Yassa Pac LLC
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Sep 2, 2020
- Last Updated
- Dec 16, 2020
Practice Location
- Address
- 624 E 9 MILE RD
- City
- Hazel Park
- State
- Michigan
- ZIP Code
- 48030-1842
- Phone
- (248) 629-7497
Authorized Official
- Name
- MARCOS YASSA
- Title
- PA-C
- Phone
- (248) 629-7497
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
| Clinic/Center |
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