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Individual

DR. AMANDA JANE TSERMENGAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
16705 FORT ST, SOUTHGATE, MI 48195-1442
(734) 286-9220
Mailing address
16705 FORT ST, SOUTHGATE, MI 48195-1442
(734) 286-9220

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302041955
MI

Other

Enumeration date
12/17/2019
Last updated
12/26/2019
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