Individual
DIANA ISSAM EL-KADI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22060 OUTER DR, DEARBORN, MI 48124-3932
(313) 274-7651
Mailing address
22060 OUTER DR, DEARBORN, MI 48124-3932
(313) 274-7651
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302415520
MI
Other
Enumeration date
09/14/2023
Last updated
09/14/2023
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