Individual
EVA GENDREAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16300 FORT ST, SOUTHGATE, MI 48195-1428
(734) 284-4823
(734) 284-4763
Mailing address
16300 FORT ST, SOUTHGATE, MI 48195-1428
(734) 284-4823
(734) 284-4763
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
5302031534
MI
Other
Enumeration date
05/07/2014
Last updated
05/07/2014
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