Individual
MINI VIJAYAN NALINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1915 WISCONSIN AVE, GRAFTON, WI 53024-2605
(262) 377-0352
Mailing address
535 ACACIA DR, GRAFTON, WI 53024-9610
(262) 618-4780
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16356-40
WI
Other
Enumeration date
12/05/2011
Last updated
12/05/2011
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