Individual
MRS. JOANNE MARIE DEHETRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
3475 S BALDWIN RD, LAKE ORION, MI 48359-1032
(248) 391-1111
(248) 391-1024
Mailing address
3475 S BALDWIN RD, LAKE ORION, MI 48359-1032
(248) 391-1111
(248) 391-1024
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302028458
MI
Other
Enumeration date
01/30/2020
Last updated
01/30/2020
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