Individual
SIBA S BATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
45600 UTICA PARK BLVD, UTICA, MI 48315-5917
(586) 739-5472
Mailing address
45600 UTICA PARK BLVD, UTICA, MI 48315-5917
(586) 739-5489
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
5303015690
MI
Other
Enumeration date
03/09/2021
Last updated
03/09/2021
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