Individual
KIMBERLY HATHAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
29200 6 MILE RD, LIVONIA, MI 48152-5010
(734) 427-3237
(734) 427-3127
Mailing address
29200 6 MILE RD, LIVONIA, MI 48152-5010
(734) 427-3237
(734) 427-3127
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302038625
MI
Other
Enumeration date
09/22/2011
Last updated
09/22/2011
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