Individual
HEATHER HASSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25205 TROWBRIDGE ST, DEARBORN, MI 48124-2414
(313) 558-9448
Mailing address
4524 PALMER STREET, DEARBORN, MI 48126
(313) 558-9448
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302412293
MI
Other
Enumeration date
03/10/2022
Last updated
03/10/2022
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