Individual
DR. MARIOVANI P DE FREITAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
1755 LINCOLNWAY E, GOSHEN, IN 46526-6425
(574) 533-4932
Mailing address
67100 COUNTY ROAD 1, WAKARUSA, IN 46573-9516
(574) 862-1628
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26020759A
IN
Other
Enumeration date
09/16/2011
Last updated
12/02/2022
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