Individual
KIMBERLY NICOLE SMALLDON-LOUKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
1750 GRATIOT BLVD, MARYSVILLE, MI 48040-1182
(810) 364-6200
Mailing address
1202 CHURCH ST, PORT HURON, MI 48060-2883
(810) 292-2999
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
5303036293
MI
Other
Enumeration date
06/27/2021
Last updated
06/27/2021
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