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
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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