Individual
JESSICA KATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19855 W 12 MILE RD, SOUTHFIELD, MI 48076-2561
(248) 559-0801
(248) 559-0804
Mailing address
19855 W 12 MILE RD, SOUTHFIELD, MI 48076-2561
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302040615
MI
Other
Enumeration date
11/26/2019
Last updated
11/26/2019
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