Organization · Type 2 NPI

Yassa Pac LLC

Clinic/Center · Hazel Park, MI

NPI number 1962016360 Active

Practice location

624 E 9 Mile Rd
Hazel Park, MI 48030-1842

Mailing address

PO Box 366
Hazel Park, MI 48030-0366

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNone listed
Physician Assistant 363A00000XNone listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

17 other providers at this address

About NPI 1962016360

Yassa Pac LLC's National Provider Identifier is 1962016360, issued on Sep 2, 2020. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Hazel Park, MI. The record was last updated on Dec 16, 2020.