Individual
DIANA T MINTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
52419 COVECREEK DR, MACOMB, MI 48042-2949
(586) 677-2412
Mailing address
52419 COVECREEK DR, MACOMB, MI 48042-2949
(586) 677-2412
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302026373
MI
Other
Enumeration date
03/10/2016
Last updated
03/10/2016
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