Individual provider · Type 1 NPI

Jose Antonio Mora-San Antonio

Student in an Organized Health Care Education/Training Program · Garden City, MI

NPI number 1255120085 Active

Practice location

6245 Inkster Rd
Garden City, MI 48135-4001

Call (734) 458-3300 Map

Mailing address

Isabela Beach Ct # 562
Isabela, PR 00662-2418

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X4351054754 (MI)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1255120085

Jose Antonio Mora-San Antonio's National Provider Identifier is 1255120085, issued on May 6, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Garden City, MI. The record was last updated on May 6, 2025.