Individual
JACKLINE R MUIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
115 IN-930 EAST, NEW HAVEN, IN 46774
(260) 493-1514
Mailing address
115 IN-930 EAST, NEW HAVEN, IN 46774
(260) 493-1514
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26030587A
IN
Other
Enumeration date
11/17/2023
Last updated
11/17/2023
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