Individual
CHRISTI TITI SOUSOUAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
132 DOUGLAS AVE, HOLLAND, MI 49424-6514
(616) 396-2959
Mailing address
137 DEPOT LN, HOLLAND, MI 49424-7404
(616) 594-9184
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302415697
MI
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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