Individual
MRS. ELTONA MONI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2650 ATWATER HILLS DR NE, GRAND RAPIDS, MI 49525-9456
(616) 361-0455
Mailing address
2650 ATWATER HILLS DR NE, GRAND RAPIDS, MI 49525-9456
(616) 361-0455
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302035770
MI
Other
Enumeration date
01/04/2012
Last updated
01/04/2012
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