Individual
ADDISON GRACE MATTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
409 N MARKETPLACE BLVD, LANSING, MI 48917-7732
(517) 622-1451
Mailing address
409 N MARKETPLACE BLVD, LANSING, MI 48917-7732
(517) 622-1451
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
5303036282
MI
Other
Enumeration date
05/15/2021
Last updated
05/15/2021
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