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Victor Jayasundera, RPT
Specialist in Southfield, Michigan
NPI 1558488783

Victor Jayasundera is a Specialist based in Southfield, MI. Victor Jayasundera practices in Southfield, MI and has the professional credentials of RPT. The NPI Number for Victor Jayasundera is 1558488783 and holds a License No. 5501005927 (Michigan).

The current practice location address for Victor Jayasundera is 23100 Providence Dr, Southfield, MI and can be reached out via phone at 248-905-5180 and via fax at 248-905-5181.

Location: 23100 Providence Dr, Southfield, MI, 48075-3646
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558488783
Provider Name
Victor Jayasundera
Credential
RPT
Provider Entity Type
Individual
Gender
Male
Address
23100 Providence Dr, Southfield, MI, 48075-3646
Phone Number
248-905-5180
Fax Number
248-905-5181
Provider Enumeration Date
03/23/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5501005927 01 MI STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
23100 Providence Dr
City
Southfield
State
Michigan
Zip
48075-3646
Phone Number
248-905-5180
Fax Number
248-905-5181
person
Provider Business Mailing Address Details
Address
23100 Providence Dr
City
Southfield
State
Michigan
Zip
48075-3646
Phone Number
248-905-5180
Fax Number
248-905-5181
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
5501005927 (Michigan)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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