Individual
JYOTHI KAZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
5520 DRAKE RD, WEST BLOOMFIELD, MI 48322-1259
(248) 661-0774
Mailing address
24627 THATCHER DR, NOVI, MI 48375-2367
(248) 946-4273
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302036340
MI
Other
Enumeration date
04/15/2009
Last updated
04/15/2009
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