Individual
KIERRA SONIA VALENCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(248) 228-3876
(313) 916-1222
Mailing address
17366 GREENFIELD RD, DETROIT, MI 48235-3756
(248) 229-3876
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
5303003992
MI
Other
Enumeration date
06/02/2017
Last updated
06/02/2017
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