Individual
HIYAM ALI HAZIME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2060 DIX HWY, LINCOLN PARK, MI 48146-2274
(313) 386-5355
Mailing address
8313 WORMER ST, DEARBORN HEIGHTS, MI 48127-1370
(313) 455-0845
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302411561
MI
Other
Enumeration date
11/22/2019
Last updated
11/22/2019
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