Individual
LOUELLA TIANELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7358 SECOR RD, LAMBERTVILLE, MI 48144-9737
(734) 856-7984
Mailing address
4831 STANLEY DR, OTTAWA LAKE, MI 49267-9611
(734) 854-4504
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302030060
MI
Other
Enumeration date
06/11/2014
Last updated
06/11/2014
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