Individual
MS. MARCYANNA JORAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
12821 CROSS OVER DR, DEWITT, MI 48820-7993
(517) 669-4610
Mailing address
5122 ALWARD RD, LAINGSBURG, MI 48848-9425
(517) 230-1024
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302022907
MI
Other
Enumeration date
05/16/2014
Last updated
05/16/2014
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