Individual
DIANE CIESIELSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13894 NORTHLINE RD, SOUTHGATE, MI 48195-1803
(734) 285-9496
(734) 285-9498
Mailing address
13894 NORTHLINE RD, SOUTHGATE, MI 48195-1803
(734) 285-9496
(734) 285-9498
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
5303002276
MI
Other
Enumeration date
09/01/2015
Last updated
09/01/2015
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