Individual
MRS. DALYA MATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6777 WEST MAPLE RD., WEST BLOOMFIELD, MI 48322
(248) 229-0225
Mailing address
6777 W MAPLE RD, WEST BLOOMFIELD, MI 48322-3013
(248) 229-0225
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302031515
MI
Other
Enumeration date
03/18/2015
Last updated
03/18/2015
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