Individual
INSAF FADLALLAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20526 PLYMOUTH RD, DETROIT, MI 48228-1201
(313) 838-2555
Mailing address
20526 PLYMOUTH RD, DETROIT, MI 48228-1201
(313) 838-2555
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
A382857810
MI
Other
Enumeration date
07/11/2018
Last updated
07/11/2018
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