Individual
KAMALA DEVI AKKINENI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
29004 GREGORY ST, GRAND BLANC, MI 48439-7210
(810) 845-5917
Mailing address
29004 GREGORY ST, GRAND BLANC, MI 48439-7210
(810) 845-5917
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302035292
MI
Other
Enumeration date
05/21/2018
Last updated
05/21/2018
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