Individual
HOA TRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21790 21 MILE RD, MACOMB, MI 48044-2974
(586) 469-0254
Mailing address
45653 MOUNT AUBURN AVE, SHELBY TOWNSHIP, MI 48315-6096
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302040297
MI
Other
Enumeration date
11/15/2011
Last updated
11/15/2011
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