Individual
MRS. DELNESE M KOSTRZEWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
22521 MICHIGAN, DEARBORN, MI 48124
(313) 278-1515
(313) 792-0934
Mailing address
22521 MICHIGAN AVE, DEARBORN, MI 48124-2122
(313) 278-1515
(313) 792-0934
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302031632
MI
Other
Enumeration date
05/10/2010
Last updated
05/10/2010
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