Individual
TRISHA ANNE SANJOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
4542 KENOWA AVE SW, GRANDVILLE, MI 49418-9523
(616) 667-9713
(616) 667-9715
Mailing address
242 N COLONIAL ST, ZEELAND, MI 49464-1122
(616) 638-4646
(616) 667-9715
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
5303009791
MI
Other
Enumeration date
03/05/2021
Last updated
03/30/2021
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