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James Vassallo

Durable Medical Equipment & Medical Supplies in Clarkston, MI. Individual provider (NPI-1).

NPI number1104750595
StatusActive
Last updated in NPPESJun 10, 2026

Details

NPI
1104750595
Entity type
Individual (NPI-1)
Name
James Vassallo
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 10, 2026
Certification date
Jun 10, 2026
Last updated
Jun 10, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332B00000X Durable Medical Equipment & Medical Supplies–MIYes

Practice location

8815 Reese Rd
Clarkston, MI 48348-2754

Phone 248-525-3372

Mailing address

8815 Reese Rd
Clarkston, MI 48348-2754

Phone 248-525-3372

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