Individual
TREVOR JORDAN MONAGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPT
Contact information
Practice address
3100 E MICHIGAN AVE, JACKSON, MI 49202-3850
(517) 782-9382
Mailing address
3100 E MICHIGAN AVE, JACKSON, MI 49202-3850
(517) 782-9382
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
571692
MI
Other
Enumeration date
12/06/2021
Last updated
12/06/2021
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