Individual
STEFANIE J CLEMENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
419 W MAIN ST, GAYLORD, MI 49735-1859
(989) 732-5220
(989) 731-4216
Mailing address
419 W MAIN ST, GAYLORD, MI 49735-1859
(989) 732-5220
(989) 731-4216
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
5303006082
MI
Other
Enumeration date
10/06/2021
Last updated
12/08/2021
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