Individual
EVA MARIE KASBOHM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1964 FULLER AVE NE, GRAND RAPIDS, MI 49505-4861
(616) 364-7071
Mailing address
1605 E KENTVIEW DR NE, GRAND RAPIDS, MI 49505-4872
(415) 832-0777
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302042301
MI
Other
Enumeration date
12/29/2011
Last updated
01/08/2016
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