Individual
FIDELIS KAMUNTU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
146 N CORNING ST, FARWELL, MI 48622-9737
(989) 588-2599
Mailing address
146 N CORNING ST, FARWELL, MI 48622-9737
(989) 588-2599
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302042689
MI
Other
Enumeration date
08/27/2014
Last updated
08/27/2014
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