Individual
LOIDA JEN HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2170 WASHTENAW RD, YPSILANTI, MI 48197-1744
(734) 485-3899
Mailing address
2174 LAKEVIEW DR, APR 432, YPSILANTI, MI 48198
(734) 678-8811
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
5303030002
MI
Other
Enumeration date
05/27/2020
Last updated
05/27/2020
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