Individual
HARLEY SUE CHILDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
612 SAINT JOSEPH AVE, BERRIEN SPRINGS, MI 49103-1603
(269) 471-5020
Mailing address
15872 MEADOWVIEW DR, BUCHANAN, MI 49107-9425
(269) 479-2134
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
—
Other
Enumeration date
08/31/2021
Last updated
08/31/2021
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