Individual
KIMBERLY DAINTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
15267 E 14 MILE RD, FRASER, MI 48026-2030
(586) 294-5463
(586) 294-5856
Mailing address
48590 ARNOLD DR, MACOMB, MI 48044-5534
(586) 944-7840
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302033672
MI
Other
Enumeration date
10/06/2011
Last updated
10/06/2011
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