Individual provider · NPI-1

Jessica Eden Aldanal, DO

Student in an Organized Health Care Education/Training Program · Mount Clemens, MI

NPI number1093505885
StatusActive
Last updated in NPPESMay 7, 2025

Details

NPI
1093505885
Entity type
Individual (NPI-1)
Name
Jessica Eden Aldanal
Credential
DO
Sex
Female
Sole proprietor
No
Enumeration date
May 7, 2025
Certification date
May 7, 2025
Last updated
May 7, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program5151017136MIYes

Practice location

1000 Harrington St
Mount Clemens, MI 48043-2920

Phone 586-493-8000

Mailing address

1000 Harrington St
Mount Clemens, MI 48043-2920

Phone 586-493-8000

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