Individual
ELLY KANTOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2201 S GETTY ST, MUSKEGON, MI 49444-1207
(231) 737-1706
Mailing address
219 GOLD ST, NEGAUNEE, MI 49866-1821
(906) 204-6904
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302415477
MI
Other
Enumeration date
03/26/2024
Last updated
03/26/2024
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