Search › Michigan › Dietary Manager
Jorge Prada, CNS
NPI 1588089684 · on the registry since 2014 · sole proprietor
Practice
- Address
- 5885 S Main St
Suite 6b
Clarkston, MI 48346 - Phone
- (248) 707-6367
- Fax
- (248) 707-6233
- Organisation at this address
- Moonbeam Massage Llc
Jennifer Caudill, Md Pllc
Cynthia L Cookingham Md Pc
Main Street Dermatology, Pllc
Michael E. Stachecki, M.D., P.L.L.C.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 7
Registry record
- Primary taxonomy
- Dietary Manager
132700000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-02-26
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