Individual
LENA MATTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
4514 GRATIOT RD, KIMBALL, MI 48074-4508
(810) 364-6980
Mailing address
16690 TOWER DR, MACOMB, MI 48044-2043
(248) 835-7023
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302415675
MI
Other
Enumeration date
12/18/2023
Last updated
12/18/2023
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