Individual
CHERYL LYNN NASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4542 KENOWA AVE SW, GRANDVILLE, MI 49418-9523
(616) 667-9713
Mailing address
778 MCKINCH DR, SARANAC, MI 48881-9812
(616) 430-1309
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
5303016690
MI
Other
Enumeration date
03/05/2021
Last updated
03/05/2021
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