Individual
DENA JADALLAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5709 S TELEGRAPH RD, DEARBORN HEIGHTS, MI 48125-2025
(313) 292-1599
Mailing address
20054 DOVETAIL DR, BROWNSTOWN TWP, MI 48183-1182
(313) 523-1990
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5302413156
MI
Other
Enumeration date
01/03/2021
Last updated
01/06/2021
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