Individual
MRS. KRISTI LYNN HUTTENGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
1234 NAPIER AVE, SAINT JOSEPH, MI 49085-2112
(269) 983-8234
(269) 983-8826
Mailing address
6411 SYCAMORE BLF, COLOMA, MI 49038-9544
(269) 468-6189
(269) 983-8826
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302028930
MI
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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