Individual
KIMBERLY LOUISE ELIASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1401 W MAIN ST, LOWELL, MI 49331-1562
(616) 897-9221
(616) 897-9046
Mailing address
1401 W MAIN ST, LOWELL, MI 49331-1562
(616) 897-9221
(616) 897-9046
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
5303026117
MI
Other
Enumeration date
07/05/2021
Last updated
07/05/2021
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