Search › Michigan › 1041C0700X
Jordan Chantaca
NPI 1063141802 · on the registry since 2022
Practice
- Address
- 32290 5 Mile Rd Ste 1
Livonia, MI 48154 - Phone
- (734) 778-0663
- Fax
- (734) 785-8328
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-03-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan