Individual
JONATHAN VARGHESE ABRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
51341 W HURON RIVER DR, VAN BUREN TWP, MI 48111-2571
(734) 484-0482
Mailing address
5220 BUCKLEY DR, YPSILANTI, MI 48197-6814
(734) 218-5961
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
5303037902
MI
Other
Enumeration date
08/27/2021
Last updated
08/27/2021
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