Individual
LINA MALLAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24224 JOY RD STE 103, REDFORD, MI 48239-1215
(313) 532-4000
(313) 532-4241
Mailing address
PO BOX 87542, CANTON, MI 48187-0542
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302031849
MI
Other
Enumeration date
02/08/2021
Last updated
02/08/2021
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