Individual
VI MISSIAEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
118 SE 9TH ST, PELLA, IA 50219-2200
(641) 628-1280
Mailing address
1323 24TH ST APT 1, DES MOINES, IA 50311-3143
(319) 321-8629
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22980
IA
Other
Enumeration date
02/18/2020
Last updated
02/18/2020
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