Individual
BERONICA SALAH BAHOURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 W 14 MILE RD, CLAWSON, MI 48017-2803
(248) 435-2410
Mailing address
6355 ROYAL POINTE DR, WEST BLOOMFIELD, MI 48322-2056
(248) 404-8929
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302043167
MI
Other
Enumeration date
04/30/2019
Last updated
04/30/2019
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