Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0201X | Pediatric Allergist | 4301107821 | MI |
NPI | 1770970246 |
---|---|
Provider Name | Jenny Huang |
First Address | Dearborn, MI 48124-3191 |
Second Address | Detroit, MI 48201-2166 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/04/2015 |
Last Update Date | 29/04/2020 |