Individual
JOANN IMELDA DEHOEK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1965 BALDWIN ST, JENISON, MI 49428-8915
(616) 457-9630
Mailing address
381 WHITE STAG CT SW, GRANDVILLE, MI 49418-9418
(616) 538-0570
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302028227
MI
Other
Enumeration date
01/23/2006
Last updated
07/08/2007
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