Individual
LAKETHIA K COWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
4946 SPRINGTIME LN, MUSKEGON, MI 49442-2936
(601) 441-6695
Mailing address
4946 SPRINGTIME LN, MUSKEGON, MI 49442-2936
(601) 441-6695
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
5303040464
MI
Other
Enumeration date
04/10/2022
Last updated
04/10/2022
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