Individual
EYAS MUALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1260 HILLTOP RD, SAINT JOSEPH, MI 49085-2839
(269) 983-0315
Mailing address
2613 LAKE PINE DR, APT 65, SAINT JOSEPH, MI 49085-8206
(630) 660-6328
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302042372
MI
Other
Enumeration date
02/27/2015
Last updated
02/27/2015
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