Individual
CYNTHIA HEPBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18707 SUSSEX ST, DETROIT, MI 48235-2881
(313) 836-3687
Mailing address
18707 SUSSEX ST, DETROIT, MI 48235-2881
(313) 836-3687
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302024166
MI
Other
Enumeration date
03/18/2016
Last updated
03/18/2016
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