Individual
JESSIE ROSLONIEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2036 LAKE MICHIGAN DR NW, GRAND RAPIDS, MI 49504-4743
(616) 453-2473
Mailing address
10837 64TH AVE, ALLENDALE, MI 49401-9777
(616) 291-4303
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
5303028105
MI
Other
Enumeration date
06/14/2021
Last updated
06/14/2021
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