Individual
GORDANA JOSIFOVSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
52 LINCOLNWAY, VALPARAISO, IN 46383-5522
(219) 462-4146
(219) 646-2578
Mailing address
932 MONTERREY CT APT A, CROWN POINT, IN 46307-3657
(219) 779-6327
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
67005952A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
67005952A
THIRD PARTY
IN
Enumeration date
02/25/2021
Last updated
02/25/2021
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