Individual
ANGELA AZZOUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
47300 PONTIAC TRL, WIXOM, MI 48393-2551
(248) 960-0352
Mailing address
29805 LILLEY TRL, NOVI, MI 48377-1823
(248) 767-9968
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302045673
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
183500000X
—
MI
Enumeration date
10/30/2018
Last updated
10/30/2018
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