Individual
DYANA KOTANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4995 HIGHLAND RD, WATERFORD, MI 48328-1143
(248) 674-2261
Mailing address
37792 BLOSSOM LN, FARMINGTON HILLS, MI 48331-1734
(248) 535-4482
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302411950
MI
Other
Enumeration date
01/31/2020
Last updated
01/31/2020
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