Individual
MARIA IACOBAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
31415 FORD RD, GARDEN CITY, MI 48135-1821
(734) 367-0962
Mailing address
6426 HARTWELL ST, DEARBORN, MI 48126-2217
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302038994
MI
Other
Enumeration date
10/18/2012
Last updated
10/18/2012
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