Individual
MRS. DIANA GHANEM HADDAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2971 W MAPLE RD, TROY, MI 48084-7032
(248) 288-4385
(248) 288-2173
Mailing address
5812 BAYPOINTE BLVD, CLARKSTON, MI 48346-3110
(248) 620-3453
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302032627
MI
Other
Enumeration date
06/01/2007
Last updated
07/08/2007
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