Individual
HAIDY MATTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11294 GRAND OAK DR APT 4, GRAND BLANC, MI 48439-1250
(810) 771-7772
Mailing address
11294 GRAND OAK DR, APT#4, GRAND BLANC, MI 48439-1250
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302038585
MI
Other
Enumeration date
10/18/2011
Last updated
10/18/2011
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