Individual
DIA SALAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
37100 GREEN ST, NEW BALTIMORE, MI 48047-4203
(586) 716-1202
Mailing address
37100 GREEN ST, NEW BALTIMORE, MI 48047-4203
(586) 716-1202
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302039975
MI
Other
Enumeration date
01/30/2020
Last updated
01/30/2020
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