Individual
JUSTIN HAFEDH KAKOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
37399 6 MILE RD, LIVONIA, MI 48152-2775
(734) 464-7960
Mailing address
37399 6 MILE RD, LIVONIA, MI 48152-2775
(734) 464-7960
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
5303010794
MI
Other
Enumeration date
09/22/2021
Last updated
09/22/2021
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