Individual
JULIET AHENKORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2701 S CEDAR ST, LANSING, MI 48910-3028
(571) 490-6633
Mailing address
9218 MCCARTY RD, LORTON, VA 22079-2924
(571) 490-6633
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302045203
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5302045203
—
MI
Enumeration date
02/13/2017
Last updated
02/13/2017
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