Individual
HIEN DIEN HA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11585 E 12 MILE RD, WARREN, MI 48093-2645
(586) 751-0300
Mailing address
11585 E 12 MILE RD, WARREN, MI 48093-2645
(586) 751-0300
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302032761
MI
Other
Enumeration date
05/11/2009
Last updated
05/11/2009
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